Cole M D, Peevy K
College of Nursing, University of South Alabama, Mobile 36688.
J Perinatol. 1994 Mar-Apr;14(2):118-20.
A prospective study was performed to compare the frequency of hypoglycemia in normal neonates appropriate for gestational age delivered by cesarean section and neonates delivered by normal vaginal deliveries (n = 60). Intrapartal and prenatal risk factors were recorded. A cord glucose reading and a glucose reading within the first 2 hours of age were analyzed. Hypoglycemia was defined as a blood glucose level of < 40 mg/dl in a neonate. The study disclosed a 43% incidence of hypoglycemia in neonates delivered by cesarean section and a 37% incidence in neonates delivered vaginally. Neonates who were black, male, or both had a higher incidence of hypoglycemia. Other prenatal or intrapartal factors were not significantly associated with the development of hypoglycemia. The incidence of hypoglycemia in this study was much higher than in previous studies of neonates appropriate for gestational age that were performed before conduction anesthesia was widely used. Further studies should evaluate the possible impact of perinatal anesthesia on the development of transient neonatal hypoglycemia.
一项前瞻性研究对剖宫产分娩的适于胎龄的正常新生儿与经正常阴道分娩的新生儿（n = 60）低血糖发生频率进行了比较。记录了分娩期及产前危险因素。分析了脐带血糖读数及出生后2小时内的血糖读数。低血糖定义为新生儿血糖水平<40mg/dl。该研究显示，剖宫产分娩的新生儿低血糖发生率为43%，经阴道分娩的新生儿低血糖发生率为37%。黑人、男性或两者兼具的新生儿低血糖发生率更高。其他产前或分娩期因素与低血糖的发生无显著相关性。本研究中低血糖发生率远高于先前在广泛使用传导麻醉之前对适于胎龄新生儿所做的研究。进一步的研究应评估围产期麻醉对新生儿短暂性低血糖发生的可能影响。
