窒息后新生儿的血糖监测

MONITORING OF BLOOD GLUCOSE INTHE NEWBORNS AFTER ASPHYXIA

对１７７例有窒息史新生儿进行血糖监测。９８例入院时带静脉滴注葡萄糖者中，检出高血糖３４例（３４．７％）。７９例入院时未带静脉滴注葡萄糖者中，检出低血糖２６例（３２．９％），高血糖５例（６．３％）。有静脉滴注葡萄糖者高血糖检出率大于无静脉滴注葡萄糖者（χ￣２＝２０．４９，Ｐ＜０．０１）。提示对窒息后新生儿应监测血糖，输注葡萄糖时必须控制速度，避免血糖异常进一步加重脑损伤。

Blood glucose was deterrnined in 177 neonatal pa-tients with history of perinatal asphyxia on adrnission toour hospital. Hyperglycemia was noted in 34 (34.7%)of 98 cases who received continuous intravenous glucoseduring adnussion. fin the other hand hypoglycernia wasnoted in 26 (32. 7%) and hvperglycemia in 5 (6. 3%)of 79 cases who did noi receive intravenous glucose infu-sion. Hyperglycemia was found more frequently in thecases who received intravenous glucose infusion than inthose who did not receive intravenous glucose infusion.These results indicate that in order to avoid CNS iniuriesdue to hyper- or hypoglycemia . monitoring of blood glu-cose and rate of parenteral glucose infusion are both veryimportant .