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目的:了解高原地区新生儿出生3天内的血糖值及其影响因素。方法:选取2006年1月～2007年12月在该院出生的942例新生儿,取足跟血做微量血糖分析。结果:①发现低血糖66例,高血糖12例,新生儿血糖紊乱以低血糖多见。②与相关报道比较,高寒低氧环境新生儿低血糖发生率并不高于平原地区。③新生儿出生72h内血糖值逐渐升高。④顺产新生儿与剖宫产新生儿血糖值有显著性差异。⑤早产儿、足月小样儿易出现低血糖,而高血糖多见于有窒息史的危重新生儿。结论:新生儿血糖监测极其重要,可及时发现和纠正新生儿糖代谢紊乱,应常规对所有出生72h内的新生儿做血糖监测,特别加强剖宫产分娩及高危儿的血糖监测,及时纠正。
Objective: To understand the blood sugar level and its influencing factors within 3 days after birth in highland area. Methods: A total of 942 newborns born in our hospital from January 2006 to December 2007 were selected for blood glucose analysis. Results: ① found that 66 cases of hypoglycemia, 12 cases of hyperglycemia, neonatal hypoglycemia more common in patients with blood glucose disorders. ② Compared with relevant reports, the incidence of hypoglycemia in neonates with alpine hypoxia environment is not higher than that in plain areas. ③ newborns within 72h blood glucose levels gradually increased. ④ newborns with cesarean birth and neonatal blood glucose levels were significantly different. ⑤ premature children, full-term baby prone to hypoglycemia, and hyperglycemia more common in asphyxia history of critically ill newborns. Conclusion: Neonatal blood glucose monitoring is extremely important. Neonatal glycometabolism disorders can be detected and corrected in time. Blood glucose monitoring should be routinely performed on all neonates within 72 hours of birth, especially cesarean section labor and blood glucose monitoring in high risk infants.