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目的探讨不同喂养方式对母亲妊娠期糖尿病新生儿(IDMs)不同干预对血糖与新生儿胆红素血症影响。方法选择2012年10月-2015年10月在延庆区妇幼保健院出生IDMs 205例分为干预组与对照组。干预组于出生30min内喂10%葡萄糖5ml/kg。对照组以母乳喂养为主。监测生后1、2、3、6、12、24、48h血糖,统计新生儿低血糖症、新生儿胆红素血症。结果两组IDMs患儿出生后不同时间点血糖水平比较;对照组生后2h血糖血糖最低值,生后3h为次最低值。与干预组2、3h血糖值比较差异有统计学意义(P<0.05)。生后2、3h干预组与对照组比较低血糖症发生率分别为5.7%、2.9%;28%、19%,两组间差异有统计学意义(P<0.05)。日龄2~4dIDMs胆红素对照组明显高于干预组,差异有统计学意义(P<0.05)。结论 IDMs生后不同喂养方式,积极干预可降低生后2、3h低血糖症发生率;降低胆红素增长速度。
Objective To investigate the effects of different feeding methods on mothers with gestational diabetes newborns (IDMs) on blood glucose and neonatal bilirubin. Methods From October 2012 to October 2015, 205 IDMs were randomly divided into intervention group and control group in Yanqing District MCH. The intervention group was fed 10% glucose 5ml / kg within 30min after birth. The control group mainly breastfeeding. 1,2,12,64,48 h after birth monitoring of glucose, neonatal hypoglycemia, neonatal bilirubin. Results The blood glucose levels of the two groups of IDMs children at different time points after birth were compared. In the control group, the lowest blood glucose level at 2 hours after birth and the lowest value at 3 hours after birth. Compared with the intervention group 2,3 h blood glucose value difference was statistically significant (P <0.05). The incidence of hypoglycemia in intervention group and control group after 2,3 hrs after birth were 5.7%, 2.9%, 28% and 19%, respectively. The difference between the two groups was statistically significant (P <0.05). The day 2 ~ 4dIDMs bilirubin control group was significantly higher than the intervention group, the difference was statistically significant (P <0.05). Conclusions Different births and feeding methods of IDMs can reduce the incidence of hypoglycemia 2,3h after birth and reduce the growth rate of bilirubin.