高危新生儿血糖异常的危险因素及防治

The dangerous factor of unconventional blood sugar level and its prevention and cure in high-risk infants

目的探讨高危新生儿血糖异常的危险因素其防治措施。方法对467例高危新生儿中的102例血糖异常发生因素进行分析。结果高危新生儿血糖异常发生率为21.8%,以新生儿窒息、早产儿、糖尿病母儿、吸入性肺炎为主要原发病。高危新生儿血糖异常的发生率早产儿为39.4%,足月儿为16.4%。高血糖50%预后不良,其中11例用过影响糖代谢的药物。结论高危新生儿发生糖代谢紊乱与高危因素密切相关,由于临床症状缺乏特异性,常被原发病掩盖。本文提示对高危新生儿要常规进行血糖监测,及早采取防治措施。

Objective To explore the dangerous factors of unconventional blood sugar level and its prevention and cure in high risk infants. Methods To analysis the factors of 102 unconventional blood sugar cases in 467 high risk new infants. Results the unconventional blood sugar level rate of high risk infants is 21.8 %, the mainly masons for this situaticn are new born asphyxia neonatal, premature infant, infants of diabetic mothers and aspiration pneumonia. The incidence of unconventional blood sugar in infants is as follow, premature infant is 39.4 %, comparing to the mature infant＇ s 16.4 %. 50 % of high blood sugar cases get bad prrognosis, and 11 of them had been used drug of carbohydrate metabolism. Conclusion disturbance of carbohydrate metabolism to the newborn is closely related to the high risk factor. Since Clinical symptoms is devoid of specific, which is always covered up by the main cause of illness. According to the article, monitoring the blood - sugar for high risk newborn is necessary, and also, it should take control measures as soon as possible.