新生儿低血糖的风险评估及护理对策

The assessment of the risk of neonatal hypoglycemia and care in neonate

目的探讨新生儿发生低血糖的风险因素,以期指导护理干预。方法 118例NICU住院的新生儿出生后0h、6h、12h、24h及48h分别进行足跟微量血糖监测。结果 118例新生儿中,低血糖23例,低血糖发生率为19.5%。胎龄<37周,出生体重<2500g,剖宫产的新生儿低血糖发生的风险较大(P<0.05),而低血糖多发生于出生后0～6h。结论加强对新生儿的血糖监测和临床护理干预,是防治新生儿低血糖症的有效措施。

Objective To evaluate of the risk of neonatal hypoglycemia and care in neonate.Methods Blood glucose was monitored in 118 cases of neonatal intensive care unit（NICU） by examining the blood samples collected from the heels 0h,6h,12h,24h and 48h after delivery.Results There were 23 cases of low blood sugar.The incidence of neonatal hypoglycemia was 19.5% among the 118 patients.The risk of neonatal hypoglycemia was higher in the neonates whose gestational age 37 weeks and birth weight 2500g,and who were cesarean section newborn（P0.05）.Conclusion It was the key to provide prevention and treatment for neonatal hypoglycemia that we should strengthen the newborn＇s blood glucose monitoring and clinical care and intervention.