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早产儿出生后24小时内低血糖的发生频率及其症状

The Frequency of Hypoglycemia and Its Symptoms in Preterm Neonates in the First 24 Hours.

作者信息

Khan Jehanzeb, Muhammad Safwan Qazi, Shad Hanadi, Shah Adnan, Johar Ayesha, Rasool Palwasha, Khan Yaseen, Shah Syed Hassnain, Khan Adnan, Hassan Rao E

机构信息

Pediatric Medicine, Hayatabad Medical Complex, Peshawar, PAK.

Internal Medicine, Hayatabad Medical Complex, Peshawar, PAK.

出版信息

Cureus. 2024 Jun 14;16(6):e62356. doi: 10.7759/cureus.62356. eCollection 2024 Jun.

Abstract

Introduction Hypoglycemia is a critical concern in neonatal care, particularly among preterm infants. This study aims to investigate the frequency of hypoglycemia within the first 24 hours of life in preterm neonates, considering factors such as gestational age (GA), birth weight, and gender. Materials and methods A cross-sectional study was conducted from February to August 2021. The sample comprised 186 preterm infants selected through consecutive sampling. Data collection involved demographic information, glucose level monitoring, and symptom assessment. Results Of the 186 preterm neonates, 31.7% (n=59) experienced hypoglycemia within the first 24 hours, with feeding refusal being the predominant symptom. There was a significant difference in hypoglycemia occurrence between infants born before and after 32 weeks of gestation (p<0.05). Males were slightly more affected than females, although not statistically significant. Infants weighing less than 2 kg showed a higher susceptibility to hypoglycemia. Conclusion The early detection and management of hypoglycemia are crucial in preterm neonatal care. Close monitoring, especially in the initial four hours, is essential to prevent complications. Larger studies are warranted to confirm these findings and improve understanding and management strategies for hypoglycemia in preterm neonates, particularly within the first 24 hours of life.

摘要

引言

低血糖是新生儿护理中的一个关键问题,在早产儿中尤为突出。本研究旨在探讨早产儿出生后24小时内低血糖的发生频率,并考虑胎龄(GA)、出生体重和性别等因素。

材料与方法

于2021年2月至8月进行了一项横断面研究。样本包括通过连续抽样选取的186名早产儿。数据收集包括人口统计学信息、血糖水平监测和症状评估。

结果

在186名早产儿中,31.7%(n = 59)在出生后24小时内出现低血糖,拒食是主要症状。胎龄32周之前和之后出生的婴儿低血糖发生率存在显著差异(p < 0.05)。男性受影响略多于女性,尽管无统计学意义。体重低于2 kg的婴儿低血糖易感性更高。

结论

低血糖的早期检测和管理在早产儿护理中至关重要。密切监测,尤其是在最初四小时内,对于预防并发症至关重要。需要开展更大规模的研究来证实这些发现,并提高对早产儿低血糖的认识和管理策略,尤其是在出生后24小时内。

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