48例新生儿缺氧缺血性脑病血糖分析  

Analysis of Blood Sugar in 48 Newborns with Neonatal Hypoxic-Ischemic Encephalopathy

作　　者：张逢博[1] 曹真[1] 韩明利[1] 

机构地区：[1]河南省鹤壁煤业集团总医院儿科,458000

出　　处：《实用全科医学》2007年第8期696-697,共2页Applied Journal Of General Practice

摘　　要：目的研究新生儿缺氧缺血性脑病(hypoxic-ischemic encephalopathy,HIE)出生24 h内的血糖变化情况。方法选择2005年1月-2005年12月鹤煤集团总医院儿科收住的HIE患儿48例,入院后立即检测血糖,每2 h监测1次直到纠正到正常为止。结果重度组生后2 h内高血糖发生率为33.3%(4/12),重度组生后2 h内血糖明显高于4 h血糖,差异有统计学意义(t=2.48,P<0.05)。生后2 h内重度组血糖非常显著高于中度组(t=2.89,P<0.01),也非常显著高于轻度组(t=7.01,P<0.01)。结论新生儿HIE病情越重,出生后血糖水平越高,重度HIE生后易发生高血糖。Objective To study the change of blood sugar of newborns with hypoxic-ischemic encephalopathy （HIE） during the first 24 hours after birth. Methods 48 cases with HIE were collected. The blood sugar were tested right after being in hospital, 1 time/2 h, until back to normal level. Results The rate of hyperglycemia in the severe group during the first two hours after birth was 33.3% （4/12）. The blood sugar within 2 hours after birth was significantly higher than that taken in 4 hours （ t = 2.48, P 〈 0.05 ）. The blood sugar in the severe group within 2 hours after birth was significantly higher than that in the moderate group （t =2.89,P〈0.01） as well as that in the mild group （t =7.01 ,P〈0.01）. Conclusions The incidence rate of hyperglycemia in severe HIE patients is high. The severer the condition of HIE, the higher the blood sugar after birth.

关 键 词：新生儿 缺氧缺血性脑病 血糖 

分 类 号：R722.1[医药卫生—儿科] R446.1[医药卫生—临床医学]