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采用美国ONE-TOUCH血糖监测仪对175例新生儿入院时血糖进行监测,结果血糖异常者20例,发生率11.42％,血糖最低值0.8mmol/L,最高19.9mmol/L。低血糖发生率6.28％,其中死亡1例,病死率9.09％,发生惊厥3例。高血糖发生率5.14％,发生惊厥2例。结论低血糖发生和对预后影响已被认识并予以重视,而对重危患儿易发生高血糖及血液高渗状态和对预后影响认识不够。对易发生糖代谢紊乱的新生儿应做血糖监测,严格控制输糖速度和浓度,避免医原性高血糖的发生。
Adopting the ONE-TOUCH blood glucose monitor from the United States, blood glucose was monitored at admission of 175 newborns. The results showed that 20 cases had abnormal blood glucose, the rate was 11.42%, the lowest blood glucose was 0.8mmol / L and the highest was 19.9mmol / L. Hypoglycemia incidence of 6.28%, of which 1 died, the mortality rate 9.09%, 3 cases of convulsions occurred. High blood sugar incidence of 5.14%, 2 cases of convulsions occurred. Conclusions The incidence of hypoglycemia and prognosis have been recognized and valued. However, the incidence of hyperglycemia and hyperosmolarity in hyperbilirubinemia patients and their prognosis are not well understood. On the newborn glucose disorders prone to glucose monitoring should be done to strictly control the speed and concentration of sugar, to avoid the occurrence of idiopathic hyperglycemia.