有妊娠期糖尿病病史的产后女性新生儿低血糖与糖尿病前期之间的关联。
Association between neonatal hypoglycaemia and prediabetes in postpartum women with a history of gestational diabetes.
作者信息
Youngwanichsetha Sununta, Phumdoung Sasitorn
机构信息
Faculty of Nursing, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
出版信息
J Clin Nurs. 2014 Aug;23(15-16):2181-5. doi: 10.1111/jocn.12488. Epub 2013 Dec 25.
AIMS AND OBJECTIVES
To determine the association between hypoglycaemia among neonates born to mothers with gestational diabetes mellitus and their postpartum prediabetes.
BACKGROUND
Infants born to mothers with diabetes who experienced hyperglycaemia are more likely to develop hypoglycaemia.
DESIGN
A prospective-descriptive research was conducted in three tertiary hospitals in southern Thailand.
METHODS
One hundred and fifty matched pairs of mothers and their newborns were included in the study. Data were analysed using descriptive statistic, odds ratio, Spearman's rho correlation and binary logistic regression.
RESULTS
The incidence of neonatal hypoglycaemia was 42·37% and odds ratio was 0·30. The findings showed the significant association between neonatal hypoglycaemia and postpartum blood sugar levels of women with a history of gestational diabetes mellitus.
CONCLUSIONS
Neonatal hypoglycaemia was associated with maternal hyperglycaemia and prediabetes.
RELEVANCE TO CLINICAL PRACTICE
Neonatal hypoglycaemia might be used to predict prediabetes of postpartum women with a history of gestational diabetes mellitus.
目的与目标
确定患有妊娠期糖尿病的母亲所生新生儿低血糖与其产后糖尿病前期之间的关联。
背景
患有高血糖的糖尿病母亲所生婴儿更易发生低血糖。
设计
在泰国南部的三家三级医院开展了一项前瞻性描述性研究。
方法
该研究纳入了150对匹配的母婴。数据采用描述性统计、比值比、斯皮尔曼等级相关和二元逻辑回归进行分析。
结果
新生儿低血糖的发生率为42.37%，比值比为0.30。研究结果表明，有妊娠期糖尿病病史的女性产后血糖水平与新生儿低血糖之间存在显著关联。
结论
新生儿低血糖与母亲高血糖及糖尿病前期有关。
与临床实践的相关性
新生儿低血糖可用于预测有妊娠期糖尿病病史的产后女性的糖尿病前期。
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