监测新生儿血糖的临床意义

Clinical Significance of Detecting Blood Glucose in Neonates

目的 :了解新生儿刚出生时的血糖情况以及对新生儿血糖异常的防治。方法 :选择高危妊娠儿、早产儿、双胎及剖宫产、阴道分娩的新生儿 10 36例 ,取新生儿足跟血或脐血 3μl,做微量血糖监测分析。 结果 :发现产后第 1天新生儿低血糖 2 33例 (2 2 4 9% ) ,第 2天低血糖 15例 (1 4 5 % ) ,第 3天低血糖 32例 (3 0 9% )。剖宫产组新生儿及高危儿组的低血糖发现率均比阴道分娩组高。结论 :新生儿血糖监测极其重要 ,可及时发现和纠正新生儿低血糖。对于高危妊娠儿、剖宫产儿、糖尿病巨大儿、低体重儿应早哺乳 ,补液是防治新生儿糖代谢紊乱的有效措施 。

Objective:To study the situation of blood glucose in neonates,and its value for prevention and treatment to abnormal blood glucose in neonates.Methods:1036 neonates,which included high-risk pregnancy,premature delivery,twins,vaginal delivery,and caesarean section(CS),were taken blood samples from heel and umbilical cord,and blood glucose levels were detected by using of equipment GLUCOTREND(Made in German).Results:There were 223(22.49%)neonates with low blood glucose on the first day after birth,and declined to 15 cases (1.45%)and 32 cases(3.09%)on the second day and the third day.The prevalence in neonates with CS and with high-risk pregnancy was higher than that in vaginal delivery.Conclusions:It's important to monitor neonatal blood glucose,which provide properly and promptly prevention and treatment for low glucose disease in neonates.For neonates with high-risk pregnancy,delivery by CS,with diabetes,and low birth-weight,transfusion is an effective way to prevent dysfunction of neonatal glucose,thus reduce morbidity and mortality of neonates.