妊娠期糖尿病产妇分娩的新生儿血糖变化与喂养的临床研究  

Clinical study on blood sugar change and their feeding of newborns delivered by gestational diabetes parturient

作　　者：刘仲寅[1] 梁燕梅[1] 郑丽千[1] 蔡春芳[1] 郑杏珊[1] 

机构地区：[1]广东省中山市博爱医院

出　　处：《全科护理》2009年第20期1787-1788,共2页Chinese General Practice Nursing

基　　金：广东省中山市科研基金资助项目;编号为20071A059

摘　　要：[目的]监测妊娠期糖尿病产妇分娩的新生儿出生后0.5h～6.0h血糖变化,寻找合适的喂养方法,以避免低血糖的发生。[方法]选取2007年3月—2008年5月在我院出生的203例妊娠期糖尿病产妇分娩的新生儿为实验组,同时设定母婴同室中正常新生儿288例为对照组,分别监测两组新生儿生后0.5h、1.0h、2.0h、6.0h血糖,实验组新生儿出生后6.0h内血糖≥2.8mmol/L者给予母乳喂养,按需喂哺;血糖<2.8mmol/L,出生后2h内喂10%葡萄糖液15mL～20mL,出生后2.0h～6.0h喂配方奶20mL。对照组新生儿出生后进行母乳喂养,按需喂哺。[结果]实验组新生儿出生后0.5h的低血糖发生率与对照组比较,差异有统计学意义(P<0.05),经合理的喂养后,血糖值与对照组比较差异无统计学意义(P>0.05)。[结论]妊娠期糖尿病产妇分娩的新生儿易发生低血糖,出生后需密切监测血糖变化,合理喂养能有效纠正低血糖,避免新生儿低血糖的发生,保证新生儿的健康成长。Objective：Through monitoring blood sugar change of newborn delivered by gestational diabetes parturient at 0.50.6 h after birth,to find a suitable feeding method,and to avoid the occurrence of hypoglycemia in newborns.Methods：A total of 203 newborns delivered by gestational diabetes parturient in our hospital from March 2007 to May 2008 were selected as test group.Meanwhile 288 health newborns in direct rooming-in were taken as control group.Blood sugars of both group cases had been monitored respectively at 0.5 h,1.0 h,2.0 h and 6.0 h after birth.As blood sugar of test group newborns within 6h after birth was over 2.8 mmol/L,they were given breast feeding according to baby’s demand.If blood sugar of newborns was less than 2.8 mmol/L within 6 h after birth,they were fed with 10% glucose liquid 15 mL20 mL 2 h after birth,and then 20ml total formula milk were given 2.0 h6.0 h after birth.Control group cases were fed with breast milk according to baby’s demand.Results：There was statistical significant difference in terms of the incidence of hypoglycemia in newborns within 0.5 h after birth between the two groups （P〈0.05）.After reasonable feeding,there was no statistical significant difference in terms of blood sugar value between the two groups （P〉0.05）.Conclusion：Newborns delivered by gestational diabetes parturient are prone to complicate with hypoglycemia,their blood sugar change of should be monitored closely.Reasonable feeding can effective correct hypoglycemia and avoid the occurrence of hypoglycemia of newborns and ensure them growth in health.

关 键 词：妊娠期糖尿病 新生儿 低血糖 喂养 

分 类 号：R473.71[医药卫生—护理学]