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目的总结动态血糖监测与脑电图监测在新生儿低血糖脑损伤中的作用。方法我院新生儿科共收治HBD患儿37例,床旁进行EEG监测和CGMS连续监测24h血糖变化。结果低血糖组EEG异常率为75.6%;CGMS监测平均血糖27.5mg/dL,特定时间(0:00～3:00)血糖波动明显,范围17.12～42.5mg/dL。持续给氧较非给氧状态时血糖波动幅度小。结论在诊断和评价HBD时,EEG和CGMS监测有着十分重要的临床意义。
Objective To summarize the role of dynamic glucose monitoring and electroencephalogram monitoring in neonatal hypoglycemic brain injury. Methods A total of 37 children with HBD were enrolled in our neonatology department. EEG monitoring and CGMS were used to monitor the changes of blood glucose 24 hours. Results The abnormal rate of EEG in hypoglycemia group was 75.6%. The mean blood glucose level was 27.5 mg / dL in CGMS monitoring group. The blood glucose level fluctuated obviously from 0:00 to 3:00 (range, 00:00 to 3:00), ranging from 17.12 to 42.5 mg / dL. Continuous oxygenation than non-oxygen state, blood glucose fluctuations in small. Conclusion In the diagnosis and evaluation of HBD, EEG and CGMS monitoring have very important clinical significance.