纯母乳喂养对新生儿血糖浓度的影响

Influence of Breast-feeding on Newborn Blood Glucose

目的 探讨纯母乳喂养对新生儿血糖浓度的影响。方法 将2001年4月至12月在我院正常分娩的健康、足月新生儿89例随机分成2组,纯母乳喂养组和加配方奶组,分别在新生儿出生时,出生后6,12,48,72h进行血糖浓度监测。结果 纯母乳喂养组新生儿与加配方奶组新生儿血糖浓度无显著差异,产妇产后血糖浓度与新生儿血糖浓度变化无关,体重>3500g的纯母乳喂养新生儿在出生后12h和24h的血糖均值大于体重<3500g的同组新生儿。结论 纯母乳喂养能满足新生儿生理需要,但同时应给予适当指导,防止新生儿低血糖发生。

Objective To explore the effect of exclusive breast-feeding on newborn blood glucose. Methods 89 healthy, full-term newborns were randomized into two groups; exclusive breastfeeding and formula feeding groups. Blood glucose concentration was determined at 0, 6, 12, 48 and 72 h after birth. Results There was no significant difference in plasma glucose level between breast-feeding and formula feeding groups at 0, 6, 12, 48 and 72 h after birth. The blood glucose concentration of the mother after delivery was not correlated with that of the newborn. The blood glucose level increased at 12 (62%), 24 (54%) and 48 (30%) h after birth in newborns whose weight was >3 500 g. Conclusion It is concluded that exclusive breast-feeding is enough to newborns, but appropriate instruction is necessary in terms of feeding frequency lest neonatal hypo-glycemia should occur.