产后合理喂养对预防妊娠期糖尿病新生儿低血糖的影响

The effect of optimal feeding strategy on the prevention of hypoglycemia in infants with diabetic mother

目的：探讨妊娠期糖尿病（GDM）新生儿产后合理喂养对预防新生儿低血糖的效果。方法：选取2012年10月至2013年10月本院184例GDM产妇分娩的新生儿为对象,随机分为干预、非干预2组。非干预组新生儿出生后纯母乳喂养；干预组勤吸吮母乳同时加喂婴儿配方奶粉15～30mL/2h,监测出生后0.5h、2h、6h、12h及24h血糖值,血糖值≤2.2mmol/L送新生儿监护室治疗护理。结果：2组新生儿出生后24h低血糖与临界低血糖发生率比较,干预组明显低于非干预组（P〈0.05）,低血糖主要发生在出生后2h、6h；2组新生儿出生后2h、6h、12h、24h血糖值,干预组明显高于非干预组（P〈0.001）。结论：GDM产妇分娩的新生儿易发生低血糖,早期动态监测血糖变化与产后合理喂养可有效减少低血糖的发生。

[ Objective ] To explore the effect of optimal feeding strategy on the prevention of hypoglycemia in infants with dia- betic mother. [Method] 184 infants with diabetic mother born from October 2012 to October 2013 were enrolled, and divided into two groups randomly. Infants in the control group received breastfeeding only, infants in the intervention group were sup- plemented with formula 15 - 30ml every 2 hours after the breastfeeding. Blood sugar was monitored at 0.5h, 2.0h, 6.0h, 12h and 24h after birth. Infants transferred to NICU when blood sugar less than 2.2mmol/L. [Result] Compared with the control group, the incidence of hypoglycemia of intervention group during the first 24 hours after birth was significantly lower. Hypo- glycemia was often occurred at two to six hours of age. The blood sugar value at 2h, 6h, 12h and 24h in intervention group was significantly higher than that of control group. [Condusion] hffants with Diabetic mother have the risk of hypoglycemia, so the blood sugar should be monitored frequently after birth. Optimal feeding strategy can decrease the incidence of hypoglycemia.