低血糖症;_母乳喂养;_婴儿;_新生____

母乳喂养新生儿低血糖影响因素观察

http://www.100md.com 《河北北方学院学报》 2006年第1期

低血糖症;,母乳喂养;,婴儿;,新生,,低血糖症;,母乳喂养;,婴儿;,新生,1资料和方法,2结果,3讨论,参考文献

     【摘要】目的: 探讨纯母乳喂养新生儿血糖变化及低血糖的影响因素。方法: 在出生后1、4、8、12、24、48、72h对纯母乳喂养的新生儿360例进行血糖系列监测。结果: 新生儿出生后1h的平均血糖浓度较低为(28±095)mmol/L,4h后升高并逐渐稳定为(322±103)mmol/L;有糖代谢异常母亲的新生儿、巨大儿、低体重儿,其出生3d内低血糖的发生率分别为232%(16/69)、372%(35/94)、308%(12/39),显著高于无以上并发症的正常新生儿(133%,21/158)。结论: 纯母乳喂养儿出生1h血糖偏低,有糖代谢异常母亲的新生儿、巨大儿、低体重儿,出生3d内低血糖发生率较高,应给予严密监测,以预防有症状的低血糖发生。

    【关键词】低血糖症; 母乳喂养; 婴儿; 新生

    Influence Factors on the Incidence of Hypoglycemia in Breastfed Newborns

    WANG Yongli, SONG Baojun

    Department of Gynecology, the First Affiliated Hospital,

    Hebei North University, Zhangjiakou, 075000, Hebei China

    【ABSTRACT】Objective: To study the influence factors on the incidence of hypoglycemia in breastfed newborns.Methods: Blood glucose were measured in 306 breastfed newborns at 1,4,8,12,24,48,72 hour after birth.Results:The incidence of hypoglycemia in the newborns whose mothers were complicated with diabetes or impaired glucose tolerance, in macro newborns (birth weight≥4000g) and in lower birthweight infants (birth weight<2500g) were 232%(16/69), 372 %(35/94) and 308 % (12/39) respectively, which were much higher than that of normal newborns (133%,21/158). Conclusion:In breastfed newborns, monitoringof blood glucose should be given to those whose mothers were complicated with diabetes or impaired glucose tolerance, to macronewborns and lower birth weight infants. ......

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