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目的探讨新生儿缺氧缺血性脑病(HIE)血糖紊乱特点,评价血糖水平检查对判断HIE严重程度及预后的意义。方法采用微量法对192例HIE患儿进行血糖监测。结果1.HIE分度越重,血糖异常发生率越高,持续时间越长。2.轻度HIE血糖以低血糖为主,而重度HIE血糖异常以高血糖为主。3.血糖持续高水平的HIE预后不良。结论对HIE要定期监测血糖,重度HIE应将血糖监测作为常规判断病情及预后的辅助指标。
Objective To investigate the characteristics of hypoglycemic disorder in neonates with hypoxic-ischemic encephalopathy (HIE) and to evaluate the significance of blood glucose test in judging the severity and prognosis of HIE. Methods The blood glucose of 192 HIE children was monitored by using the trace method. HIE indexing heavier, the higher the incidence of abnormal blood glucose, the longer the duration. Mild hypoglycemia HIE mainly hypoglycemia, and severe HIE abnormal glucose hyperglycemia. 3. Hypoglycemic persist high levels of HIE. Conclusion HIE should regularly monitor blood glucose, blood glucose monitoring should be used as a common indicator of HIE severe disease and prognosis.