| Citation: |
WANG Qingyin, XU Yetao, ZHAN Yuan, LI Li, TANG Feng. Correlation of risk factors for hypoglycemia in high risk neonates in department of obstetrics[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 73-76. DOI: 10.7619/jcmp.20223290
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To explore the risk factors of hypoglycemia in high risk neonates in department of obstetrics.
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.
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).
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.
| [1] |
刘小平. 新生儿低血糖脑损伤的MRI表现特征及扩散加权成像在早期发现低血糖脑损伤中的应用价值[J]. 现代医用影像学, 2021, 30(12): 2296-2298. doi: 10.3969/j.issn.1006-7035.2021.12.033
|
| [2] |
薛梅. 180例新生儿低血糖症合并脑损伤的病因分析[J]. 实用临床医药杂志, 2017, 21(1): 204-204, 208. doi: 10.7619/jcmp.201701078
|
| [3] |
邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 5版. 北京: 人民卫生出版社, 2019: 1-15.
|
| [4] |
中华医学会儿科学分会新生儿学组, 巨容, 包蕾, 等. 新生儿低血糖临床规范管理专家共识(2021)[J]. 中国当代儿科杂志, 2022, 24(1): 1-13. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202201001.htm
|
| [5] |
刘志伟, 陈惠金. 美国新生儿低血糖管理指南[J]. 实用儿科临床杂志, 2010, 25(8): 618-620. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201614014.htm
|
| [6] |
靳欢欢, 杨梅. 新生儿低血糖症的研究进展[J]. 现代中西医结合杂志, 2021, 30(32): 3640-3644. doi: 10.3969/j.issn.1008-8849.2021.32.024
|
| [7] |
庄颖, 邹丽, 郑雅宁, 等. 低血糖高危新生儿在院血糖管理方案的最佳证据应用[J]. 护理研究, 2022, 36(1): 133-137. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202201026.htm
|
| [8] |
刘晓红, 杜娟, 梁云梅, 等. 择期剖宫产足月儿低血糖发生率分析[J]. 中国妇幼健康研究, 2018, 29(8): 1049-1052. doi: 10.3969/j.issn.1673-5293.2018.08.027
|
| [9] |
陈妮娜, 马红梅. 自然分娩和剖宫产足月新生儿生后早期血糖变化[J]. 临床和实验医学杂志, 2017, 16(6): 596-599. doi: 10.3969/j.issn.1671-4695.2017.06.025
|
| [10] |
林日亮. 2017—2018年某院新生儿低血糖发生情况调查[J]. 公共卫生与预防医学, 2021, 32(2): 151-154. doi: 10.3969/j.issn.1006-2483.2021.02.037
|
| [11] |
晋柏, 孙丽洲. 妊娠期糖尿病代谢组学研究应用与进展[J]. 中华围产医学杂志, 2019, 22(4): 265-268. doi: 10.3760/cma.j.issn.1007-9408.2019.04.011
|
| [12] |
晋柏, 顾梦薇, 张婷婷, 等. 1型糖尿病合并妊娠16例母儿妊娠结局分析[J]. 中国实用妇科与产科杂志, 2016, 32(11): 1093-1097. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201611017.htm
|
| [13] |
邵天伟, 唐仕芳, 陈龙, 等. 昆士兰临床指南: 新生儿低血糖(2019版)解读[J]. 重庆医学, 2021, 50(24): 4146-4149. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202124001.htm
|
| [14] |
WIGHT N E, ACADEMY OF BREASTFEEDING MEDICINE. ABM clinical protocol #1: guidelines for glucose monitoring and treatment of hypoglycemia in term and late preterm neonates, revised 2021[J]. Breastfeed Med, 2021, 16(5): 353-365.
|
| [15] |
胡颦, 王多德. 早产儿体重、胎龄与低血糖关系的分析[J]. 海南医学, 2007, 18(11): 127-127, 119. https://www.cnki.com.cn/Article/CJFDTOTAL-HAIN200711083.htm
|
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