新生儿低血糖症76例临床分析

The clinical analysis of 76 cases of newborns with hypoglycemia

目的：探讨新生儿低血糖发生的危险因素,以便更好地预防和治疗。方法：广西医科大学第七附属医院新生儿病房2007年1月~2008年12月收治的957例新生儿于入院时进行血糖筛查并进行回顾性分析。结果：957例新生儿中,诊断为新生儿低血糖76例,总发生率为7.94%。早产儿低血糖36例,发生率为21.05%;足月儿低血糖37例,发生率为4.96%;过期产儿低血糖3例,发生率为7.5%。前两者比较差异有统计学意义（2χ=49.17,P〈0.01）。低出生体重儿低血糖39例,发生率为21.08%;巨大儿低血糖8例,发生率为12.90%;正常出生体重儿低血糖29例,发生率为4.08%。前两者与后者分别比较,差异均有统计学意义（2χ=60.39,P〈0.01;2χ=9.72,P〈0.01）。结论：新生儿低血糖的治疗关键在于预防,对存在早产、低出生体重、巨大儿、窒息、感染等低血糖危险因素的新生儿,均应严密监测血糖,且对新生儿实行早接触、早吸吮、早开奶,以预防及早期发现低血糖,及时治疗,防止严重的并发症出现,防止对新生儿造成危害,尤其是中枢神经系统的危害。

Objective：To investigate the risk factors of newborns with hypoglycemia and the way for better prevention and treatment..Methods：957 newborns in newborn nursery were retrospectively analyzed on screening blood sugar..Results：76 of 957 newborns were diagnosed hypoglycemia（7.94%）.36 premature newborns had hypoglycemia（7.94%）.37 term infants had hypoglycemia（4.96%）.There was highly significantly different among them.39 low birth weight infants had hypoglycemia（21.08%）.8 large for date infants had hypoglycemia（12.09%）.29 normal birth weigh in infants had hypoglycemia（4.08%）.There was highly significant difference among the two of ahead and the latter（χ2=49.17,P0.01）.Conclusion：The key point of treatment for newborn with hypoglycemia is prevention.Accurate monitor should be strengthened on blood sugar of newborn with premature birth,low birth weight,large for date,apnoea.The newborns should be contacted,myzesised and lactated early,to prevent,early discovery glycopenia,cure in time,prevent severe complication and the disservice of newborn-especially the harm of central nerve.