摘要
目的:探讨新生儿低血糖的临床特点和高危因素,以求为临床诊治提供依据。方法:监测并分析广东省潮安区人民医院收治的250例存在血糖高危因素的新生儿的血糖水平。结果:250例高危因素新生儿中140例出现低血糖症状,其中12例(8.6%)患儿的母亲有糖尿病史,26例(18.6%)患儿喂养困难,34例(24.3%)患儿存在围生期窒息,18例(12.9%)患儿感染硬肿症或败血症,28例(20%)患儿为早产儿,24例(17.1%)患儿为足月小样儿。140例患有低血糖的新生儿中有10例出现青紫症状、26例出现嗜睡症状、11例出现抽搐症状、15例出现呼吸暂停症状、8例出现吸吮力差症状、70例为无症状型低血糖。结论:常规检测具有高危因素的新生儿的血糖水平,以及早发现和治疗,从而减少、避免低血糖对新生儿造成的损伤。
Objective：To explore the clinical characteristics and high risk factors of the occurrence in the newborn hypoglycemia disease, in order to provide basis for clinical diagnosis and treatment of prevention. Methods：Blood glucose levels of 250 newborns with high risk factors of blood glucose levels admitted in People’ s Hospital of Chaoan district, Guangdong Province were monitored and analyzed. Results：In 250 newborns with high risk factors of blood glucose, there were 140 neonates with hypoglycemia, and among them, there were 12 cases （ 8. 6%） had diabetic mother, 26 cases （ 18. 6%） with feeding difficulties, 34 cases （ 24. 3%） with perinatal asphyxia, 18 cases （ 12. 9%） infected with scleroderma or sepsis, 28 cases （ 20%） were mature low birth weight infants. In 140 hypoglycemic cases of newborn, there were 10 cases with cyanotic symptom, 26 cases with drowsiness, 11 cases with twitch, 15 cases with apnea, 8 cases with poor sucking capability, and 70 cases with asymptomatic hypoglycemia. Conclusion：Through conventional detection on newborns with high risk factors of blood glucose levels, it could reduce or avoid the damage of hypoglycemia to newborn with early diagnosis and treatment.
出处
《广州医科大学学报》
2014年第4期75-77,共3页
Academic Journal of Guangzhou Medical University
关键词
低血糖
新生儿
脑损伤
hypoglycemia
neonate
cerebral injury
