新生儿低血糖89例分析.pdfVIP

362 西部医学2008年3月第2O卷第2期 Med JWest China，March 2008，Vo1．20，No．2 新生儿低血糖89例分析 李乔红 ，邹永蓉 ，龚 放 (1．芦山县人民医院，四川芦山625600；2．雅安市人民医院) 【摘要】 目的 探讨新生儿低血糖的相关因素及临床意义。方法 对1369例入院新生儿进行微量血糖检测，统计 所有的低血糖病例，分析其发病率、起痛的相关因素、低血糖并发症及转归。结果 新生儿低血糖发生率为6．5 ，以男 婴多见。重度妊高征易致低血糖；早产、低出生体重、小出生日龄均是发生低血糖的重要因素；新生儿疾病中窒息是其首 发因素，窒息程度不同，造成不同水平的血糖异常；其次是感染。新生儿低血糖相对的持续时间短，累及脏器少，短期预后 较好。结论 母有妊娠合并症、畀常分娩史、新生儿痰痛史均可造成新生儿低血糖，其短期预后较好，但应对低血糖患儿 进行远期随访。 【关键词】 新生儿； 糖代谢； 低血糖 【中图分类号】 R722．19 【文献标识码】 A 【文章编号】 1672—3511(2008)02—0362—02 Clinical analysis of 8 9 neonatal hypoglycemia LI Qiao—hong，ZOU Yong—rong，GONG fang (Lushan People’s Hospital，Lushan 625600，Sichuan，Chma) [Abstract] Objective To observe the relative factors that lead to neonatal hypoglycemia and the clinical significance．Methods The glucose level of inpatient neonates were detected．The incidence，the relative factors incurring the disturbance，complications and final consequence were analysed．Results The incidence of neonatal hypoglycemia was 6．5 ，most of whom were male babies．Those mothers suffering from serious PIH were vulnerable to inducing neonatal hypoglycemia．Premature infant and low birth weight were important factors leading to neonatal hypoglycemia．In neonatal diseases，choke was the primary factor leading to hypoglycemia，and the second was infection．The prognosis would be better if the persistent time of hypoglycemia was relatively shorter and the organ involved was less．Conclusion Mothers who have pregnant complications，perverse labor，and some neonatal diseases can elicit neonatal hypoglycemia．The prognosis generally is good for those with a short episode of hypoglycemia．A long—term follow-up is necessary for these cases．