目的:探讨高危新生儿血糖异常的危险因素。方法:对221例高危新生儿中进行末梢血糖监测,对137例血糖异常发生因素进行分析。结果:高危新生儿末梢血糖异常发生率为61.9%,早产儿为33.9%,足月儿为28.1%。高危新生儿末梢血糖异常的发生以早产儿、新生儿窒息、高胆红素血症、吸入性肺炎等为主要原发病。结论:高危新生儿发生血糖代谢紊乱与高危因素相关,由于临床症状缺乏特异性,常被原发病所掩盖,应注意监测及时纠正。 Objective: To explore the risk factors of abnormal blood glucose in high-risk neonates. Methods: Peripheral blood glucose monitoring was performed in 221 high-risk neonates and 137 cases of abnormal blood glucose levels were analyzed. Results: The incidence of abnormal blood glucose in high-risk neonates was 61.9%, in preterm infants 33.9% and in term infants 28.1%. High-risk neonatal peripheral glucose abnormalities occur in preterm children, neonatal asphyxia, hyperbilirubinemia, aspiration pneumonia as the main disease. CONCLUSION: The disorder of glucose metabolism in high-risk newborns is related to risk factors. Due to the lack of specificity of clinical symptoms, it is often covered up by the primary disease and should be monitored and corrected promptly.