新生儿低血糖危险因素的临床分析  

Clinical Analysis of Risk Factors of Neonatal Hypoglycemia

作　　者：蔡琳[1] 李晓东[1] 张升荣[1] 

机构地区：[1]广东医学院附属南山医院新生儿科,广东省深圳市518052

出　　处：《医学理论与实践》2012年第22期2744-2745,2748,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨我院NICU住院新生儿的低血糖发生率并分析其发生的相关危险因素。方法:常规监测所有住院新生儿出生头3d的血糖水平,尤其是对初次检测呈异常血糖水平者每天监测血糖,直至血糖水平恢复正常并稳定。结果:1 581例住院新生儿中检出低血糖83例,发病率为5.2%。低血糖在早产儿、足月儿、过期产儿的发生率分别为9.4%、2.0%、0%;在超低出生体重儿、极低出生体重儿、低出生体重儿、正常出生体重儿、巨大儿的发生率分别为27.3%、8.5%、8.6%、3.0%、5.7%;在适于胎龄儿、小于胎龄儿、大于胎龄儿的发生率分别为4.4%、8.8%、7.8%;在重度窒息儿、轻度窒息儿和无窒息儿的发生率分别为33.3%、8.9%、5.0%。结论:早产、低出生体重、小于胎龄儿、窒息是低血糖发生的高危因素,对这些新生儿应严密监测血糖,且对新生儿实行早开奶,以预防及早期发现低血糖,及时治疗,防止严重的并发症出现,防止对新生儿造成危害,尤其是中枢神经系统的危害。Objective：To explore the incidence of hypoglycemia of the hospitalized neonates in NICU, and to analyze the risk factors associated with its occurrence. Methods： Conventionally monitor blood glucose levels of all hospital neo- nates in the first three days. Especially in the initial detection of the blood glucose showed abnormal, the neonates＇blood glucose levels were monitored daily, until they return to normal and stable. Results：Detect 83 cases of hypoglycemia in 1 581 cases of hospitalized neonates,and the incidence of hypoglycemia was 5. 2%. The incidences were 9.4%, 2.0%, 0 % in preterm neonates, full term neonates and post-term neonates;the incidences were 27. 3 %, 8. 5 %, 8. 6 %, 3.0%, 5.7% in extremely low birth weight neonates, very low birth weight neonates, low birth weight neonates, normal birth weight neonates, macrosomia neonates;the incidences were 4. 4 %, 8. 8%, 7. 8 % in appropriate for gestational age neonates, small for gestational age neonates, large for gestational age neonates; the incidences were 33.3 %, 8. 9 %, 5.0 % in severe asphyxia neonates, mild asphyxia neonates and no asphyxia neonates. Conclusion.. The risk factors are preterm neonates,low birth weight neonates, small for gestational age neonates and asphyxia. Accurate monitor should be strengthened on blood sugar of these neonates. The neonates should be fed early, to prevent, early discovery hypoglycemia, cure in time, prevent severe complication and the disservice of neonates-especially the harm of central nerve.

关 键 词：低血糖 新生儿 危险因素 

分 类 号：R722.1[医药卫生—儿科]