摘要
目的围绕2017—2018梅州市人民医院新生儿低血糖发生情况展开调查研究。方法回顾性分析2017年1月至2018年12月于该院降生的5306例新生儿临床资料,依据是否确诊为新生儿低血糖分为正常新生儿组5088例以及新生儿低血糖组218例,调查新生儿低血糖发生情况并利用logistic回归分析模型总结其风险因素。结果该院新生儿低血糖发生率4.11%(218/5306)。出生时发生率87.61%(191/218)、出生0.5~48 h发生率10.55%(23/218)、出生后48h后发生率1.83%(4/218)。无临床症状者75.23%(164/218),有临床症状者24.77%(54/218);logistic回归分析结果提示,早产儿、小于胎龄儿、母亲妊娠期糖尿病/糖尿病、高胆红素血症为诱发新生儿低血糖的独立风险因素(OR:9.125、11.693、23.266、35.474,P<0.05)。结论2017—2018年该院新生儿低血糖发生率处于较低水平,好发于出生时且绝大多数无临床症状,早产儿、小于胎龄儿、母亲妊娠期糖尿病/糖尿病、高胆红素血症为诱发新生儿低血糖的独立风险因素。
Objective To investigate the occurrence of hypoglycemia in neonates in Meizhou People′s Hospital from 2017 to 2018.Methods The clinical data of 5306 neonates born in Meizhou People′s Hospital from January 2017 to December 2018 were retrospectively analyzed.According to the diagnosis of neonatal hypoglycemia,the subjects were divided into a normal neonatal group(5088 cases)and a neonatal hypoglycemia group(218 cases).The incidence of hypoglycemia in neonates was investigated and the risk factors were analyzed using Logistic regression analysis.Results The incidence of hypoglycemia in neonates in the hospital was 4.11%(218/5306).The incidence rate was 87.61%(191/218)at birth,10.55%(23/218)at 0.5h to 48h after birth,and 1.83%(4/218)at 48h after birth.There were 75.23%(164/218)of patients without clinical symptoms,and 24.77%(54/218)of cases with clinical symptoms.Logistic regression analysis showed that premature infants,small for gestational age,maternal gestational diabetes/diabetes,and hyperbilirubinemia syndrome were independent risk factors for inducing hypoglycemia in neonates(OR:9.125,11.693,23.266,35.474,P<0.05).Conclusion The incidence of hypoglycemia in neonates in Meizhou People′s Hospital was at a low level from 2017 to 2018.Most cases occurred at birth and the majority of patients had no clinical symptoms.Premature infants,small for gestational age,maternal gestational diabetes/diabetes,and hyperbilirubinemia were the independent risk factor for inducing hypoglycemia in newborns.
作者
林日亮
LIN Riliang(Meizhou People′s Hospital,Meizhou,Guangdong 514031,China)
出处
《公共卫生与预防医学》
2021年第2期151-154,共4页
Journal of Public Health and Preventive Medicine
关键词
新生儿低血糖
风险因素
母亲妊娠期糖尿病
小于胎龄儿
早产儿
Neonatal hypoglycemia
Risk factors
Maternal gestational diabetes
Small for gestational age
Premature infant
