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目的:探讨新生儿窒息时血糖水平的变化与临床相关因素的关系,为治疗及监护提供依据。方法:回顾性分析56例不同程度窒息新生儿入院24小时内的血糖水平,血糖结果两组间比较用t检验,三组间比较用方差分析。结果:血糖升高与窒息程度有相关性,窒息越重血糖升高越明显。早产儿窒息时较足月儿更易出现糖代谢异常。虽然窒息病儿以血糖增高为主,但低血糖亦不能忽视。结论:窒息病儿早期进行血糖检测,合理调节血糖水平,维持糖代谢的平衡,对疾病预后的判断及治疗具有重要意义。
Objective: To explore the relationship between changes of blood glucose level and clinical factors during neonatal asphyxia, and to provide basis for treatment and monitoring. Methods: A retrospective analysis of 56 cases of asphyxia newborns within 24 hours of admission blood glucose levels, blood glucose results between the two groups using t test, the three groups were compared by analysis of variance. Results: There was a correlation between the hyperglycemia and the degree of asphyxia. The more the asphyxia was, the more obvious the hyperglycemia was. Premature children asphyxia than full-term children more prone to abnormal glucose metabolism. Although asphyxia children with high blood sugar-based, but low blood sugar can not be ignored. Conclusion: It is of great significance for asphyxia sick child to carry out blood glucose test in the early stage to reasonably regulate the blood sugar level and maintain the balance of glucose metabolism, and to judge and treat the disease prognosis.