首页|新生儿低血糖的发生现状及影响因素分析

新生儿低血糖的发生现状及影响因素分析

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目的 研究新生儿低血糖的发生现状及影响因素.方法 选取2020年10月—2023年6月江苏省启东市妇幼保健院收治的1 189例新生儿为研究对象,根据是否发生低血糖症分为对照组(n=85)和观察组(n= 1 104),收集并比较两组新生儿基本信息、出生情况、喂养情况、合并症情况及产妇妊娠期糖尿病情况,多因素Logistic回归分析新生儿低血糖发生的危险因素.结果 对85例患儿低血糖危险因素进行分析发现,胎龄、出生体质量、喂养不当、低氧血症、低体温、妊娠期糖尿病是新生儿低血糖发生的危险因素(OR=11.753、6.331、2.862、2.728、1.904、2.354,P均<0.05).结论 胎龄、出生体质量、喂养不当、低氧血症、低体温、妊娠期糖尿病是新生儿低血糖发生的危险因素,针对存在危险因素的新生儿应适当采取干预措施,预防新生儿低血糖发生.
Current Situation of Hypoglycemia in Neonates and Analysis of Influenc-ing Factors
Objective To study the occurrence of neonatal hypoglycemia and the influencing factors.Methods A total of 1 189 newborns admitted to Qidong Maternal and Child Health Hospital of Jiangsu Province from October 2020 to June 2023 were selected as the study objects,divided into control group(n=85)and observation group(n=1 104)ac-cording to whether hypoglycemia occurred.Basic information,birth status,feeding status,complications and maternal gestational diabetes of the two groups were collected and compared.Multivariate Logistic regression analysis of neona-tal hypoglycemia risk factors.Results The risk factors for hypoglycemia in 85 children were analyzed and found that gestational age,birth weight,improper feeding,hypoxemia,hypothermia,and gestational diabetes mellitus were the risk factors for the development of hypoglycemia in newborns(OR=11.753,6.331,2.862,2.728,1.904,2.354,all P<0.05).Conclusion Gestational age,birth mass,improper feeding,hypoxemia,hypothermia,gestational diabetes melli-tus are the risk factors for the occurrence of neonatal hypoglycemia,and appropriate interventions should be taken to prevent neonatal hypoglycemia in neonates with risk factors.

Neonatal hypoglycemiaRisk factorsGestational ageHypoxemiaHypothermia

陈娟、田娟、徐蕾

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江苏省启东市妇幼保健院新生儿科,江苏启东 226200

新生儿低血糖 危险因素 胎龄 低氧血症 低体温

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(4)
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