母乳喂养新生儿血糖值及相关参数研究

The study of blood sugar level in neonates bred by breast and related parameters

目的 观察母婴同室纯母乳喂养儿 (简称纯乳组 )出生 3天内的血糖水平值 ,并与混合喂养儿作为对照组 (简称混乳组 )血糖值对比。方法 正常足月新生儿 ,在生后 3天分别于 6h、2 4h、48h、72h进行动态血糖测定。结果 纯乳组和混乳组在生后 6h血糖测定值为 (3 36± 0 96 )mmol/L、(3 32± 0 94)mmol/L ;2 4h测定为 (3 34± 0 87)mmol/L、(3 35± 0 89)mmol/L ,两次监测差异均无显著性 (P >0 0 5 )。于 48h测定纯乳组和混乳组血糖值为(2 6 9± 0 6 7) )mmol/L、(3 34± 0 83)mmol/L ,纯乳组血糖下降明显 (P <0 0 5 ) ,差异有显著性 ,但血糖值尚在正常范围之内。于生后 72h测定 ,纯乳组血糖值恢复至出生时水平 ,两组分别为 (3 2 4± 0 74)mmol/L、(3 36± 0 81)mmol/L。同时测定婴儿体重、黄疸等均无异常改变。

Objective\ To observe the blood sugar in three-day neonates roomed-in system who were bred with pure mother's milk(pure milk team)and compare with the level of blood sugar in neonates bred with mixed milk(mixed milk team).Methods\ Blood sugar of normal full term neonates were measured at 6th,24th,48th and 72th hour respectively after birth.Results\ Blood sugar level of pure milk team and mixed milk team were (3 36±0 96)mmol/L and (3 32±0 94) mmol/L at 6th hour,(3 34±0 87)mmol/L and (3 35±0 89)mmol/L at 24th hour.The results in pure milk team showed no notable difference from those in mixed milk team(P>0 05).At 48th hour,blood sugar was (2 69±0 67)mmol/L and (3 34±0 83)mmol/L,the level in pure milk team dropped obviously(P<0 05).The difference was notable,howerer,the level was still in normal range.At 72th hour the level of blood sugar in pure milk team returned to the level of birth.The levels in the two teams were (3 24±0 74)mmol/L and(3 36±0 81)mml/L.At the same time,body weight,jaundice and general characters showed no obvious change.Conclusion\ Pure mother's breast-breeding has no effect on the level of blood sugar in neonates.