新生儿低血糖危险因素临床分析

摘要

目的 探-讨新生儿低血糖发生的危险因素.方法 采用罗氏全自动生化分析仪对689例新生儿进行常规血糖检测,其中检出132例低血糖患儿,并对其临床资料进行分析.结果 新生儿低血糖高危因素有:早产儿及小于胎龄儿(占34.1%)、新生儿窒息(占21.2%)、新生儿感染(占13.6%)、新生儿黄疸(占12.1%)、剖宫产儿(占6.1%)、喂养不当(占9.1%)、糖尿病母亲娩出儿(占3.8%).不同低血糖水平患儿的病死率之间差异有统计学意义(P<0.01).结论 对存在发生低血糖高危因素者,应早期进行动态血糖监测,并采取相应的预防措施.对诊断为低血糖者,无论有无症状均应立即开始补充葡萄糖等治疗,以免长期反复发作的低血糖导致永久性脑损坏,避免神经系统后遗症的发生.%Objective To analyse the risk factors of neonatal hypoglycemia. Methods 132 patients were diagnosed hypoglycemia from 689 neonates. Neonatal blood sugar was checked using Roche auto biochemical analytics. Results Risk factors includes :preterm and small gestational age ( account for 34.1％ ),neonatal asphyxia( 21.2％ ), sepsis( 13.6％ ), hyperbilirubinemia( 12. 1％ ), c-section ( 6. 1％ ), feeding problems,diabetic mother ( 3.8％ ). The neonatal mortality is significant difference among different blood glucose level. Conclusion Monitoring blood sugar level is very important for neonates with high risk factors of hypoglycemia. When the diagnosis is setting up, no mater if appearing clinical symptoms, glucose should be supplied immediately in order to prevent recurrent hypoglycemia attacks induced brain damage and avoid neurological complications.