高危新生儿血糖的临床分析与对策
【摘要】目的:分析探讨高危新生儿血糖的临床特点、低血糖的高危因素及相应的护理对策。方法:采用血糖仪及相应试纸采血测定72例有围生期高危因素的新生儿血糖。结果:72例有围生期高危因素的新生儿中发生低血糖28例,占38.89%;高血糖6例,占8.33%。胎龄<37周、出生体重<2500g、有合并疾病的新生儿血糖异常发生率分别高于胎龄≥37周、出生体重≥2500g、无合并疾病者,差异有统计学意义(P<0.05)。通过针对性护理,34例患儿均于2~4 h恢复正常血糖,未发生与血糖异常相关的并发症。结论:对高危新生儿生后24h内要连续监测血糖,对高危新生儿加强对的病情的观察。
【关键词】新生儿;低血糖;高危因素;护理
【Abstract】Objective:To study the clinical character of blood glucose among high risk newborns,and then carry our nursing measures.Methods: Using the blood glucose meter to survey the blood glucose of 72 high risk newborns. Results: There were 28 hypoglycemic newborns,the incidence rate was 38.89%; There were 6 hyperglykemia newborns,the incidence rate was 8.33%. The incidence of newborns pathoglycemia about the gestational age more than 37 weeks、birth weight more than 2500g and without merge diseases were less than the gestational age less than 37 weeks、birth weight less than 2500g and with merge diseases.It has significant difference between the two groups (P<0.05).By the targeted care,34 cases were resume normal blood sugar with 2~4 h, without relative complication. Conclusions: We should lasting monitor the blood glucose of high risk newborns with 24 hours ......
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