新生儿发生低血糖的产科因素研究

Obstetric Factors of Neonatal Hypoglycemia

目的探讨新生儿低血糖与孕产妇健康状况相关性,分析新生儿低血糖发生相关影响因素,以此为依据对孕产妇在孕期内提前采取介入和干预措施,有效预防新生儿低血糖的发生。方法收集笔者所在医院2018年收治的妊娠期糖尿病产妇120例,将其分为观察组和对照组,对两组孕产妇临床资料进行对比分析。通过对两组孕产妇平均年龄、身高、孕次、孕周、分娩月份以及新生儿出生时间、出生体重、体温及喂养规范性等因素对比分析,确定对新生儿血糖影响较大的因素。结果通过临床资料分析,观察组和对照组孕产妇在出生时间、体重、血糖等方面并没有明显差异,但是否足月出生差异较大。新生儿低血糖与出生时的体重等因素也存在较强关联,低体重出现低血糖概率较高。结论通过本文对比分析,新生儿低血糖主要影响因素有孕妇血糖控制、分娩方式、是否足月分娩以及新生儿体温、体重和喂养是否规范。了解以上因素并采取有效措施进行预防和控制,加强对孕产妇健康教育,引导孕产妇规范喂养,就能确保新生儿各项生理指标正常,杜绝新生儿低血糖,使新生儿健康成长。

Objective To explore the correlation between neonatal hypoglycemia and maternal health, analyze the related factors of neonatal hypoglycemia, and take early intervention and intervention measures during pregnancy.Effectively prevent the occurrence of neonatal hypoglycemia. Methods One hundred and twenty pregnant women with gestational diabetes mellitus admitted in our hospital in 2018 were divided into observation group and control group.The clinical data of the two groups were compared and analyzed. The average age, height, pregnancy, gestational week, month of delivery and time of birth, birth weight, body temperature and feeding criteria were compared between the two groups. The factors influencing neonatal blood sugar were determined by analysis. Results There were no significant differences in birth time, body weight and blood sugar between the observation group and the control group, but there was significant difference between the observation group and the control group in term birth. There was also a strong correlation between neonatal hypoglycemia and birth weight, and the probability of hypoglycemia at low body weight was higher. Conclusion Through comparative analysis, the main influencing factors of neonatal hypoglycemia are blood sugar control of pregnant women, mode of delivery, whether full-term delivery and whether the temperature, weight and feeding of neonates are standardized. Understanding the above factors and taking effective measures to prevent and control them, strengthening health education for pregnant and lying-in women,and guiding pregnant and lying-in women to standardize feeding can ensure the normal physiological indicators of neonates, eliminate neonatal hypoglycemia, and make the healthy growth of neonates.