高危新生儿早期血糖检测与分析

Clinical monitor and analysis blood sugar early in high risk neonates

目的:了解高危新生儿的血糖状况,以便及早发现血糖异常并及早治疗。方法:对有围产期高危因素的新生儿于生后1h内监测血糖,低血糖者及早喂养或静脉补糖纠正;高血糖者调节输糖速度控制血糖。结果:1162例高危新生儿生后1h发生低血糖171例,发生率为14.7%;发生高血糖30例,发生率为2.6%。低血糖中以早产儿、低出生体重儿、巨大儿、围产期轻度窒息缺氧新生儿、剖宫产儿发生率高,其发生率分别为17.3%、18.9%、24.0%、35.8%、17.7%。结论:尽早对高危新生儿进行血糖监测,并对血糖异常者及时处理,可以减少或避免后遗症的发生。

Ohjective..To analysis the relative risk factor of disturbance of glucose metabolism in neonates. Methods： Blood glucose levels were systematically monitored in 1162 neonates with high risk factors within lh after birth, hypoglycemia and hyperglycemia were treatment promptly. Results： 171 neonates with high risk factors were detected to be hypoglycemia（ 14.7% ）, 30 neonates with high risk factors were detected hyperglycemia（2. 6%）. Incidences of hypoglycemia was high in premature infant, low birth weight infant, mild or moderate asphyxiated infant. Conclnsions：It is necessary to monitor the blood sugar level in early neonates, especially for those with high risk factors. Early diagnosis and timely correction of abnormal blood sugar level are essential to reduce the possible adverse sequelae of glycometabolie disturbance.