摘要
目的:探讨早产儿暂时性低血糖发生的影响因素,以避免发生永久性的脑损伤,利于降低早产儿的伤残率。方法:回顾性分析有完整资料的100例早产儿临床资料,依据血糖是否低于2.6mmol/L分为低血糖组和正常血糖组,比较两组影响因素的差异。结果:早产儿的入院年龄、出生体重、胎龄、1分钟Apgar评分、小于胎龄儿、宫内感染和急诊剖宫产均对低血糖的发生有显著影响(P<0.05);临床干预因素中早产儿的窒息复苏效果、是否行营养支持、入院体温、是否经转运系统入院和是否是本院患儿也对低血糖的发生有显著影响(P<0.05)。结论:对刚出生的早产儿,重视引起暂时性低血糖发生的影响因素,及时进行低血糖的监测和治疗,以及进行正规有效的管理,可以大大减少早产儿暂时性低血糖的发生。
Objective：To investigate influencing factors of temporary hypoglycemiain preterm infants.Methods A retrospective analysis of 100 cases with complete clinical data was finished.These preterm infants were divided into two groups,called low blood sugar group（blood glucose level lower than 2.6mmol/L）and normal blood glucose group.The difference of the factors between the two groups were compared.Results The preterm infants＇s admission age,birth weight,gestational age,1 minute Apgar score,small for gestational age,intrauterine infections and emergency cesarean section on hypoglycemia were significantly affected（P0.05）;In clinical intervention factors,the effects of resuscitation,whether the nutritional support,admission body temperature,whether by the transport system and whether hospital admission also had significant effect（P0.05）.Conclusion Placing emphasis on influencing factors of temporary hypoglycemia,blood glucose monitoring and timely treatment,as well as formal and effective management,can significantly reduce the incidence of temporary hypoglycemia in infants of premature birth.
关键词
早产儿
低血糖
影响因素
preterm infant
hypoglycemia
factor
