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目的:探讨新生儿低血糖的危险因素及治疗方法,为提高新生儿低血糖的防治水平提供理论依据。方法:本研究选取了2013年4月至2014年4月我院866例新生儿作为研究对象,根据新生儿的血糖水平将其分为低血糖组38例,正常血糖组828例,对两组新生儿的临床资料进行分析,观察新生儿低血糖的危险因素及相应治疗情况。结果:与正常血糖组新生儿相比,低血糖组新生儿的早产儿、窒息缺氧、足月小样儿、败血症、喂养困难、糖尿病母亲的比率均明显升高(p<0.05)。早产儿、窒息缺氧、足月小样儿、败血症、喂养困难、糖尿病母亲为新生儿低血糖的危险因素。经治疗后,29例患儿24h内血糖恢复正常,7例48h内恢复正常,2例使用激素联用葡萄糖治疗后在24-48h内恢复正常。结论:分析新生儿低血糖的危险因素,探讨有效治疗方法对新生儿低血糖的防治具有重要意义。
Objective: To explore the risk factors and treatment of hypoglycemia in neonates, and to provide a theoretical basis for the prevention and treatment of neonatal hypoglycemia. Methods: From April 2013 to April 2014, 866 newborns in our hospital were selected as research objects. According to the neonatal blood glucose level, they were divided into hypoglycemia group (38 cases) and normal blood glucose group (828 cases) Neonatal clinical data analysis, observation of neonatal hypoglycemia risk factors and the corresponding treatment. Results: Compared with normal blood glucose group, the rate of neonates with hypoglycemia in preterm infants, asphyxia, full-term infants, septicemia, feeding difficulties and diabetic mothers were significantly increased (p <0.05). Preterm infants, asphyxia, hypoxia, full-term baby, sepsis, feeding difficulties, and diabetic mothers are risk factors for neonatal hypoglycemia. After treatment, blood glucose in 29 children returned to normal within 24 hours, 7 cases returned to normal within 48 hours, and 2 cases returned to normal within 24-48 hours after treatment with hormones combined with glucose. Conclusion: To analyze the risk factors of neonatal hypoglycemia and to explore effective treatment for neonatal hypoglycemia prevention and treatment is of great significance.