摘要
目的分析新生儿低血糖的临床特点及相关影响因素。方法将391例新生儿根据血糖水平分为低血糖组(末梢血糖≤2.2 mmol/L,n=33)和正常组(末梢血糖>2.2 mmol/L,n=358),比较2组新生儿的性别、出生日龄、胎龄、发育情况、出生体质量、分娩方式、喂养是否得当、新生儿窒息、低氧血症、高胆红素血症、感染、低体温及母亲分娩年龄、分娩次数、妊娠期高血压、妊娠期糖尿病、胎膜早破低血糖的发病情况,分析低血糖新生儿的临床特点;对存在统计学差异的因素进行多因素Logistic回归,分析新生儿低血糖发生的危险因素。结果单因素分析结果显示,2组的新生儿胎龄、发育情况、出生体质量、喂养不当、新生儿窒息、低氧血症、高胆红素血症、感染、低体温及母亲妊娠期高血压、母亲妊娠期糖尿病方面比较,差异有统计学意义(P<0.05);Logistic回归分析显示,早产儿、小于胎龄儿、低体质量出生儿、喂养不当、低氧血症、低体温及母亲妊娠期高血压、母亲妊娠期糖尿病是新生儿发生低血糖的危险因素(P<0.05)。结论影响新生儿低血糖的相关因素较多,早产、低出生体重儿、小于胎龄儿、低氧血症、低体温、喂养不当、母亲妊娠期糖尿病及妊娠期高血压是其发生的危险因素。
Objective To analyze the clinical characteristics and related influencing factors of neonatal hypoglycemia.Methods Three hundred and ninety-one neonates were divided into hypoglycemia(terminal glucose≤2.2 mmol/L,n=33)and normal groups(terminal glucose>2.2 mmol/L,n=358).The gender,age of birth,gestational age,development,birth quality,delivery mode,proper feeding,neonatal asphyxia,hypoxemia,hyperbilirubinemia,infection,hypothermia,and maternal delivery age,number of delivery,pregnancy hypertension,gestational diabetes,and the onset of premature rupture hypoglycemia were compared in two groups of newborns.The clinical characteristics of hypoglycemia newborns were analyzed.Statistical differences were analyzed by multivariate Logistic regression to analyze risk factors for neonatal hypoglycemia.Results The univariate analysis showed that the two groups were compared between gestational age,development,birth quality,improper feeding,neonatal asphyxia,hypoxemia,hyperbilirubinemia in hyperbilirubinemia,infection,hypothermia,and maternal pregnancy hypertension,and maternal gestational diabetes,and the difference were statistically significant(P<0.05).Logistic regression analysis revealed that preterm infants,less than gestational age,born infants with low body quality,improper feeding,hypoxemia,hypoand maternal gestational hypertension,and maternal gestational diabetes were risk factors for hypoglycemia in neonates.Conclusion There are many related factors affecting neonatal hypoglycemia,and preterm birth,low birth weight,less than gestational age,hypoxemia,hypothermia,improper feeding,maternal gestational diabetes,and gestational hypertension are the risk factors for their occurrence.
作者
明亚琼
庞平
曹婷
高亚丽
李大娜
龚丽
曹凯凤
刘启英
MING Yaqiong;PANG Ping;CAO Ting;GAO Yali;LI Dana;GONG Li;CAO Kaifeng;LIU Qiying(Department of Obstetrics,the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550003,Guizhou,China;Department of Obstetrics,Guizhou People's Hospital,Guiyang 550002,Guizhou,China)
出处
《贵州医科大学学报》
CAS
2021年第9期1096-1100,共5页
Journal of Guizhou Medical University
基金
贵州省科学技术厅课题任务书合同编号[黔科合LH字(2015)7111]。
关键词
新生儿
低血糖
临床特点
影响因素
回归分析
预防
neononate
hypoglycemia
clinical characteristics
influencing factors
regression analysis
prevention
