摘要
新生儿低血糖症(NH)是新生儿早期常见的代谢问题,但持续或反复性低血糖可能导致严重全身反应,直接影响神经系统发育,甚至引起永久性脑损害。2010年2月,昆士兰儿科学会新生儿专业委员会制定了第一版新生儿低血糖指南,以后大约每5年更新1次,该专委会于2019年对最新数据进行更新并制定了2019 NH筛查和后续管理指南(简称指南)。该文旨在介绍2019版更新指南,强调其更新要点,帮助中国新生儿科医生明确其最新内容,包括低血糖的定义,强调对高危(低血糖)新生儿的预防性护理及新生儿低血糖的分级管理,规范停止血糖监测的指征,以提高对NH的认识,及时发现并积极干预治疗,避免和减少NH对新生儿的危害。
Neonatal hypoglycemia(NH)is a common metabolic problem in the early stage of the newborn.Persistent or recurrent hypoglycemia may lead to severe systemic reactions,directly affect the development of the nervous system,and even cause permanent brain damage.In February 2010,Queensland Clinical Guidelines Steering Committee has formulated the first edition of neonatal hypoglycemia guidelines,which has been updated every five years.The committee updated the latest data and formulated the guidelines for the screening and follow-up management of neonatal hypoglycemia(NH)in 2019.The purpose of this paper was to introduce the updated guidelines of the 2019 edition,emphasize its update points,help Chinese neonatal pediatricians make clear the latest guidelines including the definition of hypoglycemia,emphasize the preventive nursing of high-risk(hypoglycemia)newborns and the grading management of NH,and regulate the indications of stopping blood glucose monitoring,so as to improve the latest understanding of NH,timely detection and active intervention and treatment,and thus to avoid and reduce its harm to the newborn.
作者
邵天伟
唐仕芳
陈龙
杨炜博
张娅琴
史源
马娟
SHAO Tianwei;TANG Shifang;CHEN Long;YANG Weibo;ZHANG Yaqin;SHI Yuan;MA Juan(Department of Pediatrics,Chongqing North-Kuanren General Hospital,Chongqing 401121,China;Neonatal Diagnosis and Treatment Center,Children′s Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/National Clinical Research Center for Child Health and Disorders/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)
出处
《重庆医学》
CAS
2021年第24期4146-4149,共4页
Chongqing medicine
