新生儿转运中血糖监测和处理对住院血糖变化的影响

目的探讨新生儿转运中的血糖监测和处理对住院血糖的影响。方法采用回顾性分析的方法,对比分析2010年(转运途中未进行血糖监测和处理,设为A组)和2011年(在转运途中纳入血糖监测和处理,设为B组)患儿在转运中低血糖或高血糖的发生率;入院后血糖异常的发生率;血糖恢复到正常的时间和相关临床症状消失时间。结果 A组1 122例转运患儿入院后低血糖发生率为11.2%,高血糖发生率为7.6%;B组1 032例转运中低血糖发生率为10.5%,高血糖发生率为6.9%,入院后监测低血糖和高血糖的发生率分别是5.8%和3.2%。A组低血糖恢复到正常的时间为(2.5±2.2)d,高血糖恢复到正常的时间为(3.2±1.5)d,而B组低血糖恢复到正常的时间为(1.7±1.4)d,高血糖恢复到正常的时间为(1.7±1.1)d,A、B两组差异有统计学意义(均P<0.05)。结论转运中血糖异常发生率很高,监测和处理有助于降低新生儿血糖异常的发生率,及早维持患儿血糖在正常范围内。

Effect of Monitoring and Management of Blood Sugar during Neonatal Transportation on Hospitalization Prognosis

Objective To explore the effects of blood sugar management during neonatal transportation on the blood sugar level after admission.Methods Patients were divided retrospectively into two groups.There were 1 122 patients not monitoring blood sugar during transportation in group A,while blood sugar management during transportation was taken in group B of 1 032 patients.Blood sugar was detected at the time of admission and during the hospital stay.The incidence of hyperglycemia/hypoglycemia,and time of blood sugar restoration to normal level and time of symptoms disappearance were investigated.Results Incidence of hyperglycemia and hypoglycemia was 7.6% and 11.2% in group A.Incidence of hyperglycemia and hypoglycemia was 6.9% and 10.5% in group B before admission,and 3.2% and 5.8% after admission.Time of blood sugar restoration to normal level was(2.5±2.2)days from hypoglycemia and(3.2±1.5)days from hyperglycemia in group A,and that was(1.7±1.4)days and(1.7±1.1)days in group B,respectively.Conclusion Incidence of hyperglycemia/hypoglycemia is very high during transportation.Blood sugar management during neonatal transportation contributes to reduction of incidence of abnormal blood sugar as well as earlier restoration to the normal blood sugar.