高级检索
贾天明, 郭芪良, 张晓莉, 杜开先, 李小丽, 李彦玲, 甘玲, 李月琴. 回顾性分析207例新生儿低血糖临床特点[J]. 中国妇幼卫生杂志, 2018, 9(3): 13-16.
引用本文: 贾天明, 郭芪良, 张晓莉, 杜开先, 李小丽, 李彦玲, 甘玲, 李月琴. 回顾性分析207例新生儿低血糖临床特点[J]. 中国妇幼卫生杂志, 2018, 9(3): 13-16.
JIA Tian Ming, GUO Qi Liang, ZHANG Xiao Li, DU Kai Xian, LI Xiao Li, LI Yan Ling, GAN Ling, LI Yue Qin. Retrospective analysis of clinical characteristics of 207 cases of neonatal hypoglycemia[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2018, 9(3): 13-16.
Citation: JIA Tian Ming, GUO Qi Liang, ZHANG Xiao Li, DU Kai Xian, LI Xiao Li, LI Yan Ling, GAN Ling, LI Yue Qin. Retrospective analysis of clinical characteristics of 207 cases of neonatal hypoglycemia[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2018, 9(3): 13-16.

回顾性分析207例新生儿低血糖临床特点

Retrospective analysis of clinical characteristics of 207 cases of neonatal hypoglycemia

  • 摘要: 目的 分析新生儿低血糖的临床特点,提高临床医生对新生儿低血糖认识。方法 收集2015年12月-2017年3月在郑州大学第三附属医院新生儿科住院确诊早期新生儿低血糖的207例患儿临床资料,并对其临床特点进行分析总结。按1:1的比例随机选取同期在新生儿科住院的血糖正常的早期新生儿207例为对照组。结果 早产、剖宫产、新生儿窒息、新生儿感染、低出生体重、小于胎龄儿、妊娠期糖尿病为新生儿低血糖高危因素。207例病例中,合并单一危险因素的有29例(14.01%),2种危险因素45例(21.74%),3种61例(29.47%),4种37例(17.87%),5种17例(8.21%),6种6例(2.90%),7种5例(2.42%);中、重度低血糖患儿(分别为142例、27例)中正常体重新生儿所占比例分别为50.70%、44.44%,低出生体重的患儿所占比例分别为39.44%(56例)、48.15%(13例)。结论 ①高危因素数量与低血糖发生率呈非正相关;②出生体重可能与低血糖严重程度有关;③加强有高危因素患儿的血糖监测,及时采取预防措施纠正低血糖。

     

    Abstract: Objective To analyze the clinical characteristics of neonatal hypoglycemia and to improve the clinicians' awareness of neonatal hypoglycemia.Methods The clinical data of 207 newborns with early neonatal hypoglycemia were collected from December 2015 to March 2017 in the neonatal wards of our hospital. The clinical characteristics of the children were analyzed and summarized.According to the ratio of 1:1, 207 newborns with normal blood glucose in the same period in the neonatal wards of our hospital were randomly selected as the control group.Results Statistical analysis suggested that premature delivery, cesarean section, neonatal asphyxia, neonatal infection, low birth weight, small for gestational age infant、gestational diabetes mellitus were the high risk factors of neonatal hypoglycemia. Among the 207 cases, there were 29 cases (14.01%) with single risk factors, 45 cases (21.74%) with two risk factors, 61 cases (29.47%) with three risk factors, 37 cases (17.87%) with four risk factors, 17 cases (8.21%) with five risk factors, 6 cases (2.90%) with six risk factors, 5 cases (2.42%) with 7 risk factors. The proportion of normal birth weight among middle and severe hypoglycemia newborns (142 cases, 27 cases) was 50.70% and 44.44%, repectively. The proportion of low birth weight among middle and severe hypoglycemia newborns was 39.44% and 48.15%, respectively.Conclusion ① There was nonpositive correlation between the number of high risk factors and the incidence of hypoglycemia. ② The birth weight may be related to the severity of hypoglycemia. ③ It is necessary to strengthen the monitoring of blood glucose among the neonatal with high risk factors and to take timely measures to correct hypoglycemia.

     

/

返回文章
返回