摘要
目的通过对低血糖新生儿和正常血糖新生儿的比较,探讨新生儿低血糖的临床表现和相关高危因素。方法选取我院2014年9月～2015年9月新生儿科住院治疗的74例新生儿低血糖症和妇产科无低血糖的新生儿252例,进行回顾性分析。结果χ^2检验表明,早产儿、低体重儿、巨大儿、孕母患有妊娠期糖尿病、妊娠期高血压、肝内胆汗淤积综合征有窒息史的新生儿等更易发生低血糖。而Logistic回归分析结果显示巨大儿（OR=5.760）、新生儿窒息（OR=11.537）、早产（OR=14.057）、孕母合并糖尿病（OR=4.260）、妊娠期高血压（OR=4.208）、剖宫产儿（OR=2.211）是新生儿发生低血糖的高危因素。结论新生儿低血糖具有多种高危因素,且可对新生儿的中枢神经系统造成永久性损害,需高度重视,注意临床监测,及早干预治疗。
Objective To discuss the clinical features and high risk factors of neonatal hypoglycemia through comparison between newborns with hypoglycemia and those with normal blood glucose. Methods 74 newborns with hypoglycemia and 252 newborns with normal blood glucose hospitalized in our hospital from September 2014 to September 2015 were selected and reviewed. Results According to χ^2 test, premature infants, infants of low-birth weight, macrosomia, gestational diabetes mellitus, gestational hypertension, intrahepatic cholestasis syndrome and infants with asphyxia history were risk factors of neonatal hypoglycemia. And Logistic regression analysis showed that fetal macrosomia（OR=5.760）, neonatal asphyxia（OR =11.537）, premature delivery（OR =14.057）, gestational diabetes mellitus（OR =4.260）,gestational hypertension（OR=4.208）, and cesarean delivery（OR=2.211） were high risk factors of neonatal hypoglycemia.Conclusion Neonatal hypoglycemia can be affected by multiple high risk factors and can cause permanent damage to the central nervous system of newborns, which should be paid high attention and clinical monitoring and intervention treatment should be conducted as early as possible.
出处
《中国现代医生》
2016年第8期53-56,共4页
China Modern Doctor
基金
浙江省医药卫生一般研究计划(2015KYA238)
关键词
新生儿
低血糖
高危因素
妊娠期糖尿病
Newborn
Hypoglycemia
High risk factors
Gestational diabetes mellitus
