摘要
目的 分析新生儿高血糖的影响因素.方法 选取 2020 年 7 月至 2023 年 6 月于柳州市中医医院产科娩出的1651例新生儿,均进行血糖监测,按照血糖水平分为高血糖组(41例)与正常血糖组(1610 例).采用单因素及多因素logistic回归分析新生儿高血糖的影响因素.结果 单因素分析显示,两组胎盘早剥、前置胎盘、出生后使用地塞米松、新生儿窒息、妊娠高血压及子痫、妊娠肥胖、新生儿黄疸、早产儿、低体重儿、新生儿重症感染情况比较,差异有统计学意义(P<0.05).多因素logistic回归分析显示,出生后使用地塞米松、新生儿窒息、妊娠高血压及子痫、早产儿、低体重儿、新生儿重症感染是新生儿高血糖的危险因素(P<0.05).结论 出生后使用地塞米松、新生儿窒息、妊娠高血压及子痫、早产儿、低体重儿、新生儿重症感染是新生儿高血糖的危险因素,针对存在危险因素的新生儿,应积极监测血糖,早发现、早治疗,减少高血糖并发症的发生.
Abstract
Objective To analyze the influencing factors of neonatal hyperglycemia.Methods A total of 1651 newborns delivered in the Department of Obstetrics of Liuzhou Traditional Chinese Medical Hospital from July 2020 to June 2023 were selected for blood glucose monitoring,and divided into high blood glucose group(41 cases)and normal blood glucose group(1610 cases)according to blood glucose level.The influencing factors of neonatal hyperglycemia were analyzed by univariate and multivariate logistic regression.Results Univariate analysis showed that there were statistically significant differences in placental abruption,placenta previa,Dexamethasone use after birth,neonatal asphyxia,pregnancy-induced hypertension and eclampsia,gestational obesity,neonatal jaundice,preterm infants,low birth weight infants and neonatal severe infection between the two groups(P<0.05).Multivariate logistic regression analysis showed that Dexamethasone use after birth,neonatal asphyxia,pregnancy-induced hypertension and eclampsia,preterm infants,low birth weight infants,neonatal severe infection were risk factors for neonatal hyperglycemia(P<0.05).Conclusion Dexamethasone use after birth,neonatal asphyxia,pregnancy-induced hypertension and eclampsia,preterm infants,low birth weight infants,neonatal severe infection are risk factors for neonatal hyperglycemia.For neonates with risk factors,blood glucose should be actively monitored,early detection and early treatment should be carried out to reduce the occurrence of hyperglycemia complications.
基金项目
广西壮族自治区卫生健康委自筹科研项目(Z20200309)
国家科技期刊平台
NSTL
维普
万方数据