纯母乳喂养新生儿低血糖影响因素研究  

Influence Upon the Incidence of Hypoglycemia in Breast-fed Newborns

作　　者：谢红宁[1] 谭丽君[1] 陈筠虹 詹前胜[1] 房小玲[1] 

机构地区：[1]中山医科大学附属第一医院妇产科,广东广州510080

出　　处：《中山医科大学学报》2000年第5期366-368,共3页Academic Journal of Sun Yat-sen University of Medical Sciences

基　　金：广东省卫生厅基金!资助课题 (1996 -19)

摘　　要：【目的】探讨纯母乳喂养新生儿血糖变化及低血糖的影响因素。【方法】在出生后 1、4、8、12、2 4、48、72h对纯母乳喂养的新生儿 30 6例进行血糖系列监测。【结果】新生儿出生后 1h的平均血糖浓度较低为 (2 8± 0 95 )mmol/L ,4h后升高并逐渐稳定为 (3 2 2± 1 0 3)mmol/L ;有糖代谢异常母亲的新生儿、巨大儿、低体重儿 ,其出生 3天内低血糖的发生率分别为 2 2 4% (11/ 49)、36 9% (31/ 84)、2 9 6 % (8/ 2 7) ,显著高于无以上并发症的正常新生儿 (11 6 % ,17/ 146 )。【结论】纯母乳喂养儿出生 1h血糖偏低 ,有糖代谢异常母亲的新生儿、巨大儿、低体重儿 ,出生 3天内低血糖发生率较高 ,应给予严密监测 ,以预防有症状的低血糖发生。Objective To study the influence of breast-fed on the incidence of hypoglycemia in newborns. Methods Blood glucose were measured in 306 breast-fed newborns at 1,4,8,12,24,48,72 hours after birth. Results The incidence of hypoglycemia in the newborns whose mothers were complicated by diabetes or impaired glucose tolerance, in macro-newborns (birth weight≥4 000 g) and in lower birth weight infants (birth weight<2 500 g) were 22 4%(11/49), 36 9%(31/84) and 29 6% (8/27), respectively, and were higher than that in normal newborns (11 6%,17/146). Conclusion In breast-fed newborns, monitoring of blood glucose should be given to those whose mothers were complicated by diabetes or impaired glucose tolerance, to macro-newborns and lower birth weight infants.

关 键 词：低血糖症 母乳喂养 新生儿 

分 类 号：R174.4[医药卫生—妇幼卫生保健] R722.1[医药卫生—公共卫生与预防医学]