[1]黄亚芹,周乐山,田朴,等.958例住院早产儿低血糖的危险因素分析[J].军事护理,2023,40(02):38-41.[doi:10.3969/j.issn.2097-1826.2023.02.009]
　HUANG Yaqin,ZHOU Leshan,TIAN Pu,et al.Risk Factors of Hypoglycemia in 958 Hospitalized Premature Infants[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(02):38-41.[doi:10.3969/j.issn.2097-1826.2023.02.009]
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958例住院早产儿低血糖的危险因素分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年02期
页码:
38-41
栏目:
研究荟萃
出版日期:
2023-02-15

文章信息/Info

Title:
Risk Factors of Hypoglycemia in 958 Hospitalized Premature Infants
文章编号:
2097-1826(2023)02-0038-04
作者:
黄亚芹1; 2; 周乐山1; 田朴1; 黄玉婷1; 胡奔1; 蒋忆遥1
(1.中南大学 湘雅护理学院,湖南 长沙 410000; 2.湖南省妇幼保健院 新生儿科,湖南 长沙 410008)
Author(s):
HUANG Yaqin1; 2 ; ZHOU Leshan1; TIAN Pu1; HUANG Yuting1; HU Ben1; JIANG Yiyao1
(1.Xiangya School of Nursing,Central South University,Changsha 410000,Hunan Province,China; 2.Neonatology Department,Hunan Provincial Maternal and Child Health Care Hospital,Changsha 410008,Hunan Province,China)
关键词:
早产儿;  低血糖;  危险因素
Keywords:
premature infants;  hypoglycemia;  risk factors
分类号:
R473.72
DOI:
10.3969/j.issn.2097-1826.2023.02.009
文献标志码:
A
摘要:
目的 评估早产儿发生低血糖的危险因素,以期为其血糖管理提供依据。方法 回顾性分析2019年1-12月入住某院新生儿重症监护室的胎龄<37周的早产儿的临床资料,其中以血糖<2.2 mmol/L为低血糖组,血糖正常者为正常组,分析筛选早产儿低血糖的危险因素。结果 两组早产儿在出生体重、分娩方式、是否为小于胎龄儿(small for gestational age infant,SGA)及孕母是否存在高血压、妊娠期糖尿病、妊娠期甲状腺功能减退等因素上的差异均有统计学意义(均P<0.05)。SGA(OR=1.579)、妊娠期高血压(OR=1.872)、妊娠期糖尿病(OR=2.937)和妊娠期甲状腺功减退(OR=1.727)是早产儿低血糖的独立危险因素(均P<0.05),顺产(OR=0.509)是其保护因素(P<0.05)。 结论 临床上应加强SGA和孕母存在妊娠期高血压、妊娠期糖尿病、妊娠期甲状腺功能减退的早产儿的血糖管理,以防止低血糖的发生。
Abstract:
Objective To evaluate the risk factors of hypoglycemia in premature infants,so as to provide basis for the management of hypoglycemia in premature infants.Methods Retrospective study was conducted among the neonates whose gestational age was less than 37 weeks and who were admitted to the neonatal intensive care unit from January to December 2019.The hypoglycemic group was defined as those whose blood glucose was lower than 2.2 mmol/L,and the normal group was randomly selected as the premature infants whose blood glucose was monitored in the same period.The risk factors of hypoglycemia in premature infants were screened and analyzed.Results There were significant differences in birth weight,delivery mode,small for gestational age infant(SGA)or not,pregnancy-induced hypertension,pregnancy-induced diabetes,and pregnancy-induced hypothyroidism between the two groups(all P<0.05).SGA(OR=1.579),pregnancy-induced hypertension(OR=1.872),pregnancy-induced diabetes(OR=2.937)and pregnancy-induced hypothyroidism(OR=1.727)were independent risk factors for hypoglycemia in preterm infants(all P<0.05),and spontaneous delivery(OR=0.509)was protective factors for hypoglycemia in preterm infants(P<0.05).Conclusion SGA,pregnancy-induced hypertension,pregnancy-induced diabetes,and pregnancy-induced hypothyroidism can increase the risk of hypoglycemia in preterm infants,which should be paid attention to in clininal nursing.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-06-22 【 修回日期 】 2022-11-21
【 作者简介 】 黄亚芹,硕士在读,主管护师,电话:0731-84332011
【 通信作者 】 周乐山,电话:0731-82650275
更新日期/Last Update: 2023-02-15