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确定与新生儿低血糖发生相关的风险效应因子。

Identifying risk effectors involved in neonatal hypoglycemia occurrence.

机构信息

Department of Obstetrics, Guizhou Provincial People's Hospital, Guizhou 550002, China.

出版信息

Biosci Rep. 2020 Mar 27;40(3). doi: 10.1042/BSR20192589.

Abstract

Hypoglycemia is a common metabolic condition in neonatal period, but severe and persistent hypoglycemia can cause neurological damage and brain injury. The aim of the present study was to analyze the risk factors of neonatal hypoglycemia in clinic. A total of 135 neonatal hypoglycemia infants and 135 healthy infants were included in the present study. The differences in birth weight between neonatal hypoglycemia group and healthy control group were analyzed via t test. The associations between neonatal blood sugar level and relevant characteristic factors were explored using χ2 test. Binary logistic regression analysis was used to analyze risk factors related to the incidence of neonatal hypoglycemia. The results showed that the average birth weight was matched in neonatal hypoglycemia group and healthy control group. Neonatal blood sugar level of the infants was significantly associated with born term, birth weight, feed, gestational diabetes mellitus (GDM) and hypothermia (all P<0.05). Besides, logistic regression analysis showed that babies' born term (odds ratio (OR) = 2.715, 95% confidence interval (95% CI): 1.311-5.625), birth weight (OR = 1.910, 95% CI: 1.234-2.955), improper feeding (OR = 3.165, 95% CI: 1.295-7.736) and mother's GDM (OR = 2.184, 95% CI: 1.153-4.134) were high risk factors for neonatal hypoglycemia. The incidence of hypoglycemia in infants was significantly associated with various clinical factors. And monitoring these risk factors is one of important measures to reduce long-term neurological damage caused by neonatal hypoglycemia.

摘要

低血糖是新生儿期常见的代谢紊乱,但严重和持续的低血糖可导致神经系统损伤和脑损伤。本研究旨在分析临床新生儿低血糖的危险因素。本研究共纳入 135 例新生儿低血糖患儿和 135 例健康婴儿。采用 t 检验分析低血糖组与健康对照组新生儿体重的差异。采用 χ2 检验探讨新生儿血糖水平与相关特征因素的关系。采用二项 logistic 回归分析分析与新生儿低血糖发生率相关的危险因素。结果显示,低血糖组和健康对照组新生儿的平均出生体重相匹配。新生儿血糖水平与胎龄、出生体重、喂养方式、妊娠期糖尿病(GDM)和低体温显著相关(均 P<0.05)。此外,logistic 回归分析显示,足月产(比值比(OR)=2.715,95%置信区间(95%CI):1.311-5.625)、出生体重(OR=1.910,95%CI:1.234-2.955)、喂养不当(OR=3.165,95%CI:1.295-7.736)和母亲 GDM(OR=2.184,95%CI:1.153-4.134)是新生儿低血糖的高危因素。新生儿低血糖的发生率与多种临床因素显著相关。监测这些危险因素是减少新生儿低血糖引起的长期神经损伤的重要措施之一。

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