窒息新生儿早期血糖动态监测及意义

The Clinical Significance of Monitoring the Blood Sugar Level on Asphyxia Neonates

目的了解窒息新生儿早期血糖变化特点,探讨对窒息新生儿早期监测血糖的意义。方法采用微量血糖仪对70例不同程度窒息新生儿和25例正常足月新生儿在出生24h内分5个时段进行血糖监测,并做比较分析。结果窒息新生儿血糖异常与窒息程度有关,以生后6h内表现突出,经血糖监测调整葡萄糖输入速度后,95%以上的新生儿血糖于生后12h内恢复正常。结论加强窒息新生儿早期(尤其在生后6h内)血糖监测对提高预后有重要临床意义。

Objective To study the blood sugar level after neonatal asphyxia and to discuss the clinical significance of monitoring the blood sugar on asphyxia children. Methods The blood sugar levels of 70 asphyxia children were detected by blood sugar microanalysis instrument, and were compared with which of 25 normal neonates. Results The abnormity of blood sugar level of asphyxia children is related to degrees of asphyxia and it is obvious within 6 hours after birth. The velocity of intravenous infusion of glucose was adjusted according to the standacd of blood sugar of neonates. And by which the standard of blood sugar in more than 95 percent neonates was normal within 12 hours after birth. Conclusion Monitoring the blood sugar level of asphyxia neonates （ especially within 6 hours after birth） is important to improve prognosis of asphyxia children.