摘要
目的探讨新生儿低血糖发生的高危因素及临床特点,为临床诊治及预防提供依据。方法对2009年1月—2010年7月新疆医科大学第一附属医院新生儿科住院的2 325例新生儿进行血糖监测,267例新生儿发生低血糖症,对267例低血糖症患儿原发疾病及临床特点进行回顾性分析。结果 (1)267例低血糖症中无症状者169例(63.29%),有症状者98例(36.71%),治愈率为95.88%(256/267),好转11例。(2)低体温、早产儿及低出生体重儿低血糖的发生率高。(3)有症状组与无症状组的低血糖初发水平差异有统计学意义(P<0.05),血糖初发时间、持续时间、发生次数差异无统计学意义。血糖≤1.1mmol/L时容易出现临床症状。结论患儿出现临床症状与血糖浓度有关,对无症状低血糖临床应引起足够重视,及早诊断、及时采取医疗措施纠正低血糖,以降低新生儿低血糖症及其脑损伤的发生。
Objective To investigate risk factors and clinical features of neonatal hypoglycemia,in order to provide clues of diagnosis and to guide the prevention.Methods Two thousand and three hundred twenty five neonates were enrolled from January 2009 to July 2010,and all of them were checked with serum glucoses.Of which 267 cases were confirmed with diagnoses of neonatal hypoglycemia,and their data of primary disease and clinical features were analyzed retrospectively.Results(1) The incidence of neonatal hypoglycemia was 11.48%,of which 169 cases were asymptomatic(63.29%),and 98 cases were symptomatic(36.71%).(2) Neonates with low-temperature,low birth weight and premature had higher risk of hypoglycemia.(3) Clinical symptom of hypoglycemia was related to concentrations of blood glucose,neonates with blood glucose level ≤1.1 mmol/L were more easily to have clinical symptoms.Conclusion Neonates with hypoglycemia which are asymptomatic should been paid sufficient attention,and early diagnosis and timely medical managements should be given to correct low blood sugar,therefore reducing the incidence of neonatal hypoglycemia and brain injury.
出处
《新疆医科大学学报》
CAS
2012年第2期228-231,共4页
Journal of Xinjiang Medical University
关键词
低血糖
新生儿
临床分析
hypoglycemia
neonate
clinical analysis
