摘要
目的分析母婴皮肤早接触对妊娠期糖尿病产妇新生儿血糖的影响。方法采用非同期对照,以2015年5月-2016年4月入组的妊娠期糖尿病产妇新生儿(243例)为对照组,出生后完成新生儿常规护理后于辐射保温台上测量血糖。以2016年5月-2017年4月入组的妊娠期糖尿病产妇新生儿(79例)为试验组,出生后即刻进行母婴皮肤早接触15 min后测血糖。以血糖≤2.5 mmol/L界定新生儿低血糖,比较两组新生儿血糖值及低血糖发生率。结果两组血糖值比较发现,试验组新生儿血糖值(3.97±0.90)mmol/L高于对照组(3.67±1.08)mmol/L(P=0.002),试验组低血糖发生率(1.27%)低于对照组(9.05%),差异有统计学意义(P=0.037)。结论出生后即刻母婴皮肤早接触可有效降低妊娠期糖尿病产妇新生儿的低血糖发生率。
Objective To analyze the effect of immediately skin-to-skin contact after birth on blood glucose of the newborns of gestational diabetes mellitus ( GDM) mothers. Methods A non-concurrent control trial was conducted,the newborns of GDM during May 2014 to April 2015 were included as a control group ( 243 cases) treated with regular care and blood glucose were collected in the incubator while the newborns of GDM during May 2015 to April 2016 were taken as the experimental group ( 79 cases) whose blood glucose was measured after a 15 minutes of immediately skin-to-skin contact with mothers. The occurrence of neonatal hypoglycemia ( blood glucose≤2. 5mmol /L) was compared between two groups. Results It was found that the blood glucose in the experimental group ( 3. 97±0. 90) mmol /L was higher than those in the control group ( 3. 67±1. 08) mmol /L ( P= 0. 002),the incidence of hypoglycemia in the experimental group ( 1. 27%) was lower than that in the control group ( 9. 05%)( P= 0. 037). Conclusion Immediately skin-to-skin contact after birth can effectively re- duce the incidence of hypoglycemia in GDM newborns.
作者
林蓉金
金调芬
孙欣悦
LIN Rong-Jin;JIN Diao-Fen;SUN Xin-Yue(Nursing Department of First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian 350005,China)
出处
《中国妇幼保健》
CAS
2019年第11期2507-2509,共3页
Maternal and Child Health Care of China
基金
福建省自然科学基金面上项目(2019J01444)
关键词
母婴皮肤早接触
妊娠期糖尿病
新生儿
血糖
Skin-to-Skin contact immediately
Gestational diabetes mellitus
Neonate
Blood glucose
