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目的:探讨引起新生儿低血糖的高危因素及临床特点,为该病的防治提供临床依据。方法:回顾该院2008年1~12月收治新生儿625例,常规进行血糖检测。结果:高危儿低血糖发生率为8.32%,有感染、母亲合并糖尿病、早产儿及小于胎龄儿的新生儿其低血糖发生率高。新生儿生后第一天低血糖发生率高达57.69%。胎龄<37周的新生儿低血糖发生率明显高于≥37周的新生儿,两组有统计学差异(2χ=46.759 2,P=0.000 0<0.01);新生儿出生体重>4 000 g的低血糖发生率,与在2 500~4 000 g之间以及<2 500 g的新生儿相比,有统计学差异(2χ=57.453 6,P=0.000 0<0.01)。结论:及时诊断新生儿低血糖症,积极合理治疗,对于改善新生儿预后极为重要。
Objective: To investigate the risk factors and clinical features of neonates with hypoglycemia, and to provide a clinical basis for the prevention and treatment of the disease. Methods: The hospital from January 2008 to December admitted 625 neonates, routine blood sugar testing. Results: The incidence of hypoglycemia in high risk infants was 8.32%. The incidence of hypoglycemia was high in infants with infection, maternal diabetes mellitus, premature infants and infants younger than gestational age. The incidence of hypoglycemia on the first day after birth is as high as 57.69%. The incidence of hypoglycemia in neonates with gestational age <37 weeks was significantly higher than that of neonates ≥37 weeks (2χ = 46.759 2, P = 0.000 0 <0.01). The birth weight of newborns> 4 000 g (2χ = 57.453 6, P = 0.000 0 <0.01) compared to neonates who were between 2 500 and 4 000 g and <2 500 g. Conclusion: The timely diagnosis of neonatal hypoglycemia, active and reasonable treatment, to improve the prognosis of newborns is extremely important.