妊娠期糖代谢异常孕妇新生儿出生24h血糖监测  

24 hours blood glucose monitoring in newborns of abnormal glucose metabolic pregnant women

作　　者：尹玲[1] 杨慧霞[1] 刘洪滨[1] 薛晴[1] 吴北生[1] 王素环[2] 卢永霞 

机构地区：[1]北京大学第一医院妇产科,北京100034 [2]北京大学第一医院儿科,北京100034

出　　处：《北京医科大学学报》2000年第6期523-525,共3页Journal of Peking University(Health Sciences)

摘　　要：目的 :探讨妊娠期糖代谢异常孕妇孕期血糖控制满意后 ,新生儿早期动态血糖变化。方法 :选择 1998年4月至 1999年 11月北京大学第一医院糖代谢异常孕妇孕期血糖控制满意者所分娩的新生儿 30例 ;糖代谢正常孕妇所分娩的新生儿 6 0例 ,其中大于胎龄儿 2 6例 ,正常体重儿 (对照组 ) 34例。新生儿出生后分别于第 2、4、8、2 4小时测定微量血糖 ,并监测血色素、红细胞压积、微量胆红素及体温等。结果 :糖代谢异常孕妇血糖控制满意组新生儿出生 2、4、8、2 4h微量血糖值 [(3 .3± 0 5 ) ,(3 .4± 0 .4) ,(3 .6± 0 .5 ) ,(3 .6± 0 .6 )mmol·L-1, x±s]与对照组[(3 .2± 0 .4) ,(3.3± 0 .4) ,(3 .3± 0 .4) ,(3.4± 0 .3)mmol·L-1, x±s]相比 ,差异无显著性 (P >0 .0 5 ) ,无低血糖发生 ;且新生儿出生体重也与对照组相近。结论 :严格控制糖代谢异常孕妇孕期血糖 ,可使新生儿出生早期血糖与糖代谢正常母亲的新生儿相近 。Objective: To evaluate the changes of blood glucose in newborns of abnormal glucose metabolic pregnant women with ideal treatment of blood glucose. Methods: 90 cases were chosen from April 1998 to November 1999, including 30 newborns with ideal treatment of blood glucose in abnormal glucose metabolic pregnant women and 60 newborns of normal glucose metabolic pregnant women, in which 26 cases were larger for gestational age(LGA) and 34 cases(control group) were normal birth weight infants. Blood glucose was monitored at 2,4,8 and 24 h after birth, and the temperature, hemoglobin, hemotocrit(HCT) and billirubin of newborns were also studied respectively. Results: There was no significant difference in early blood glucose level at 2,4,8, and 24 h between newborns of mothers with blood glucose ideally treated group and control group(3.3±0.5,3.4±0.4,3.6± 0.5 ,3.6±0.6 mmol·L -1 vs 3.2±0.4,3.3±0.4,3.3±0.4,3.4±0.3 mmol·L -1 , P >0.05). No hypoglycemia was found in both groups, and the incidence of LGA did not increase in the former. Conclusion: It is very important to control blood glucose strictly in abnormal glucose metabolic pregnant women, in order to make the blood glucose of newborn to be normal and to reduce early hypoglycemia in newborns.

关 键 词：妊娠期并发症 糖代谢异常 新生儿 血糖监测 

分 类 号：R714.148[医药卫生—妇产科学] R722.1[医药卫生—临床医学]