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目的探讨早产儿糖代谢紊乱影响因素。方法收集早产儿525例,低血糖组170例,高血糖组68例,两者兼有组35例,对照组252例,进行2χ检验。结果与对照组比较,剖宫产、多胎、窒息、患儿感染、极低出生体重儿、合并单或多脏器功能衰竭与三组差异均有统计学意义;小于胎龄儿、孕母妊高征与低血糖组、两者兼有组差异有统计学意义;糖尿病母亲婴儿仅与低血糖组差异有统计学意义。结论对存在高危因素早产儿监测血糖,减少糖代谢紊乱脑损伤。
Objective To investigate the influencing factors of glucose metabolism in premature infants. Methods 525 cases of preterm infants, 170 cases of hypoglycemia group, 68 cases of hyperglycemia group, 35 cases of both combined group and control group of 252 cases, 2χ test. Results Compared with the control group, cesarean section, multiple births, asphyxia, infantile infection, very low birth weight infants, combined single or multiple organ failure and the three groups were statistically significant differences; less than gestational age, pregnant mothers The difference between the two groups was statistically significant in hyperkalemia and hypoglycemia groups. There was significant difference between hypoglycemia group and infants with diabetes mellitus. Conclusion The monitoring of blood glucose in preterm infants with high risk factors and the reduction of brain damage caused by glucose metabolism disorders.