Department of Paediatrics, American Hospital, Güzelbahce Sokak, Istanbul, Turkey.
Singapore Med J. 2010 Nov;51(11):853-5.
This study aimed to screen the blood glucose levels in healthy term and near-term neonates, and to assess the influence of mode of delivery, birth weight and gestational age on blood glucose levels.
The blood glucose concentrations of 1,540 healthy term and near-term neonates in the first hour of life were retrospectively evaluated from the clinical charts. Glucose levels were estimated from heel prick capillary samples. The glucose concentration was correlated with the mode of delivery, birth weight and gestational age.
Vaginally delivered neonates had higher glucose levels. The glucose concentrations were not significantly different between infants in the different birth weight groups. However, glucose concentration was significantly correlated with gestational age, and the levels were observed to rise with increasing gestational age.
Screening asymptomatic, healthy term and near-term neonates for hypoglycaemia in the first hour following birth is unnecessary. Glucose strips and glucose meters are useful only as screening devices for neonatal hypoglycaemia, and a screening cut-off value must be established.
本研究旨在筛查健康足月和近足月新生儿的血糖水平，并评估分娩方式、出生体重和胎龄对血糖水平的影响。
回顾性分析 1540 例健康足月和近足月新生儿出生后 1 小时内的血糖浓度，通过足跟毛细血管采血样本估算血糖浓度。血糖浓度与分娩方式、出生体重和胎龄相关联。
阴道分娩的新生儿血糖水平较高。不同出生体重组之间的血糖浓度无显著差异。然而，血糖浓度与胎龄显著相关，且随着胎龄的增加而升高。
对无症状、健康的足月和近足月新生儿在出生后 1 小时内进行低血糖筛查是不必要的。血糖试纸和血糖仪仅可用作新生儿低血糖筛查的筛查设备，必须建立筛查截断值。
