妊娠期糖尿病新生儿血糖变化与喂养

The change of blood sugar and feed in newborns in gestational diabetes

目的:监测妊娠期糖尿病产妇分娩的新生儿出生后0.5h～24h血糖变化,寻找合适的喂养方法,为临床上减少新生儿低血糖的发生提供依据。方法:选取在我院出生的88例妊娠期糖尿病产妇分娩的新生儿随机分为实验组和对照组各44例,对照组在新生儿出生后lh开始喂10%葡萄糖溶液,15～30ml/次,每2小时1次;观察组根据新生儿出生后30min、2h、6h、12h及24h血糖值调整喂养的葡萄糖溶液浓度和频次,15～30ml/次。两组在喂葡萄糖溶液的同时进行常规母乳喂养及人工喂养。结果:两组新生儿出生后2h、6h、12h、24h血糖值比较,差异有显著性意义(P<0.001);两组新生儿出生后6h低血糖发生率比较,差异有显著性意义(P<0.05);观察组血糖恢复至正常的时间显著短于时照组(P<0.05)。结论:妊娠期糖尿病产妇分娩的新生儿出生后24h内需密切监测血糖变化,根据结果喂养不同浓度葡萄糖溶液,为临床上减少新生儿低血糖的发生提供依据。

Objective： Monitoring the changes of blood sugar 0.5h-24h after birth of the maternities in gestational diabetes, a suitable feeding method, providing the basis for the incidence of neonatal hypoglycemia in clinical. Methods： 88 newborns delivered by gestational diabetes parturient in our hospital were divided into two groups. This two groups both have 44 newborns and they were experimental group and control group. The two groups were both given breast feeding or normal bottle feeding. In the control group, newborns began to be fed with 10% glucose liquid 15-30ml 2h after birth. And in the experimental group, we adjusted the concentration and frequency of the glucose liquid by the blood sugar monitored at 30min, 2h, 6h, 12h and 24h after birth. Result： Comparing the blood sugar of the two groups at 2h, 6h, 12h, 24h after birth, the difference was significant （P〈0.001）. Also, comparing the ratio of hypoglycemia happened in 6 hours after birth of the two groups, the difference was significant （P〈0.05）. What was more, the time used to recover to normal in experimental group was obviously less than that of the control group （P〈0.05）. Conclusion： We＇d better monitor the change of blood sugar in newborns delivered by gestational diabetes parturient within 24h after birth, in order to adjust the concentration and frequency of the glucose liquid to feed newborns, and gave you the basis for reducing the ratio of hypoglycemia in newborns.