新生儿血糖异常的病因分析及防治

Etiology of Anomalies of Blood Sugar in Newborns and Their Prevention and Treatment

目的探讨新生儿血糖异常的病因及防治措施。方法对存在血糖异常高危因素的565例新生儿进行血糖监测,其中低血糖184例,高血糖20例,对血糖异常的相关因素进行分析。结果早产儿及小于胎龄儿、新生儿窒息、颅内出血、医源性因素、喂养困难、感染、糖尿病母亲娩出儿等患儿低血糖发生率较高;医源性因素、颅内出血、糖尿病母亲娩出儿、巨大儿等患儿高血糖发生率较高。结论高危新生儿易发生糖代谢紊乱,对高危新生儿应常规进行血糖监测,及早采取防治措施。

Objective To explore the etiological factors of anomalies of blood sugar level in newborns and their prevention and treatment.Methods Blood sugar monitoring was taken for 565 newborns with high risk factors of unconventional blood sugar(184 cases with hypoglycemia and 20 cases with hyperglycemia),and the relative factors of abnormal blood sugar were analyzed.Results The prevalence of hypoglycemia was higher in premature;or in infants with less gestational age than normal;or in infants suffering from newborn asphyxia,craniocerebral hemorrhage;some iatrogenic agents,feeding intolerance and infection;or in infants whose mother are diabetics.And the prevalence of hyperglycemia was higher in infants suffering from some iatrogenic agents,craniocerebral hemorrhage;or in infants whose mothers are diabetics;or in infants who are fetal macrosomia.Conclusion Disturbance of sugar metabolism easily develops in newborns with high risk factor.So monitoring blood sugar should be conventionally conducted and some control measures be taken as soon as possible for high risk newborns.