早期新生儿低血糖的危险因素分析

Analysis of Risk Factors for Hypoglycemia in Early Neonates

目的:探讨早期新生儿低血糖的危险因素,为临床防治提供依据。方法:选取我院2015年5月-2016年5月收治的早期新生儿低血糖35例患儿为观察组,同时随机选取同期住院健康的新生儿35例为对照组。采用单因素和多因素Logistic分析早期新生儿低血糖的危险因素。结果 :Logistic回归分析显示:新生儿低血糖发生与宫内窘迫(羊水粪染)、早产儿、孕母糖尿病、出生低体质量儿、红细胞增多症、小于胎龄儿、孕母重度妊高征关系密切;巨大儿是新生儿低血糖的保护因素。结论 :对有低血糖危险因素的早期新生儿应常规检测血糖,及时采取有效措施纠正低血糖,减少早期新生儿低血糖的发生。

Objective:To explore the risk factors of early neonatal hypoglycemia, and to provide the basis for clinical prevention and treatment. Methods:35 cases of early neonatal hypoglycemia in our hospital from May 2015 to May 2016 were selected as the observation group, and 35 healthy newborns were selected as the control group at the same time. Risk factors for early neonatal hypoglycemia were analyzed by univariate and multivariate Logistic analysis. Results:Logistic regression analysis showed that the incidence of early neonatal hypoglycemia was closely related to intrauterine distress(meconium-stained amniotic fluid), preterm birth, maternal gestational diabetes and low birth weight, polycythemia, small for gestational age and severe pregnancy-inducted hypertension(PIH) of pregnant woman; macrosomia was a protective factor for neonatal hypoglycemia. Conclusion:Blood glucose should be detected routinely in early neonates with risk factors of hypoglycemia, and effective measures should be taken to correct hypoglycemia,which can help to reduce early neonatal hypoglycemia.