新生儿医源性高血糖的相关因素分析  

A study on pathogenic factors of iatrogenic hyperglycemia in newborn infants

作　　者：张英从[1] 张庆云[1] 曹蕾[1] 张俊莲[1] 杜彦肖[1] 

机构地区：[1]河北省人民医院儿科,石家庄市050051

出　　处：《中国全科医学》2004年第12期889-890,共2页Chinese General Practice

摘　　要：目的　探讨新生儿医源性高血糖的相关因素。方法　将 96例住院新生儿以静脉输注葡萄糖的速度不同分为 3组 ,分别对 3组新生儿的血糖进行动态监测。结果　 3组新生儿医源性高血糖的发生率 ,足月儿分别是 81%、37%、 0 (P <0 0 1) ,早产儿分别是 95 %、 5 7%、 2 2 % (P <0 0 0 5 )。结论　静脉输注葡萄糖超速是引起新生儿医源性高血糖的主要原因。胎龄、日龄、体重和血糖值呈负直线相关。病情越重越易发生高血糖。Objective To study pathogenic factors of iatrogenic hyperglycemia in newborn infants.Methods We randomized 96 newborn infants(term infants 59, pre-term infants 37) requiring intravenous infusion, who were divided into 3 groups based on three different rates of intravenous infusion. The plasmas were systematically collected and analyzed for the blood sugar.Results The incidences of hyperglycemia in term infants under three different rate of intravenous infusion were respectively 81%, 37%, 0, and pre-term infants were 95%, 57%, 22%.Conclusion The major cause of hyperglycemia in newborn infants is rapid intravenous infusion of 10% glucose. Low birth weight infants, pre-term infants and the infants with serious diseases are prone to the development of iatrogenic hyperglycemia.

关 键 词：新生儿 医源性高血糖 相关因素分析 动态监测 

分 类 号：R722.19[医药卫生—儿科]