产科高危新生儿低血糖风险因素的相关性分析

王清印; 许叶涛; 詹远; 李黎; 汤凤

doi:10.7619/jcmp.20223290

产科高危新生儿低血糖风险因素的相关性分析

Correlation of risk factors for hypoglycemia in high risk neonates in department of obstetrics

摘要

摘要:
目的探讨影响产科高危新生儿低血糖的风险因素。
方法回顾性分析江苏省人民医院产科的1159例高危新生儿低血糖相关临床资料。采用Logistic回归分析诱发新生儿低血糖的独立风险因素。
结果新生儿在出生0.5h后，发生低血糖203例(17.52%); 出生1.0h后，发生低血糖146例(12.60%); 出生4.0h后，发生低血糖53例(4.57%); 出生7.0h后，发生低血糖3例(0.26%); 出生24.0h后，发生低血糖1例(0.09%)。Logistic回归分析结果提示，剖宫产、低体质量儿为诱发新生儿低血糖的独立风险因素(OR=4.805、0.231, P < 0.05)。
结论新生儿低血糖发生时间主要集中在出生后0.5~1.0h, 剖宫产和低体质量儿是诱发产科新生儿低血糖的独立风险因素。

Abstract:
Objective To explore the risk factors of hypoglycemia in high risk neonates in department of obstetrics.
Methods The clinical data of 1 159 high-risk neonates with hypoglycemia were analyzed retrospectively in the department of obstetrics in Jiangsu Provincial People's Hospital. The independent risk factors of neonatal hypoglycemia were analyzed by Logistic regression.
Results There were 203 cases (17.52%) of hypoglycemia after 0.5 h of birth; at 1.0 h after birth, hypoglycemia occurred in 146 cases (12.60%); at 4.0 h after birth, 53 cases (4.57%) developed hypoglycemia; at 7.0 h after birth, hypoglycemia occurred in 3 cases (0.26%); at 24.0 h after birth, hypoglycemia occurred in 1 case (0.09%). Logistic regression analysis indicated that cesarean section and low body weight infants were independent risk factors for neonatal hypoglycemia (OR=4.805, 0.231; P < 0.05).
Conclusion The occurrence of neonatal hypoglycemia is mainly concentrated at 0.5 to 1.0 h after birth. Cesarean section and low body weight infants are independent risk factors for inducing neonatal hypoglycemia in department of obstetrics.

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