新生儿出生体温管理与新生儿低血糖症临床相关性(1)
摘 要：目的 研究新生儿出生系统体温管理的临床效果及系统体温管理与新生儿低血糖症临床相关性。方法 选取2016年1月～2017年12月在我院出生的新生儿2240例，随机分为对照组和干预组，每组1120例。对照组常规进行新生儿处置操作，干预组强化要求新生儿系统体温管理处置操作，检测新儿出生后不同时期的体温及血糖情况，分析系统体温管理的临床效果及体温管理与低血糖症的临床相关性。结果 干预组新生儿入室体温、生后2 h体温较对照组平均增高0.4～0.6 ℃，且体温较为恒定；干预组新生儿生后30 min～2 h血糖高于对照组，且对照组新生儿低血糖发生率为14.82%，高于干预组的4.01%，差异具有统计学意义(P<0.05)。结论 新生儿出生体温管理与新生儿低血糖症的发生率存在一定的相关性，临床给予合理系统的新生儿体温处置管理可有效地降低新生儿出生后低体温情况的发生，同时有效降低新生儿出生后低血糖症的发生。
关键词：新生儿；低体温；低血糖症；体温管理
中图分类号：R722.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.026
, http://www.100md.com
文章编号：1006-1959(2018)15-0086-03
Clinical Correlation Between Neonatal Temperature Management and Neonatal Hypoglycemia
WANG Hui
(Department of Pediatrics，Tianjin Shuige Hospital，Tianjin 300100，China)
Abstract：Objective To study the clinical effect of neonatal body temperature management and its correlation with neonatal hypoglycemia.Methods 2240 newborns born in our hospital from January 2016 to December 2017 were randomly divided into control group(n=1120)and intervention group(n=1120).In the control group，the neonate was routinely treated，and the intervention group was strengthened to require the neonatal body temperature management and disposal operation to detect the body temperature and blood sugar at different stages after the birth of the newborns.The clinical effect of systemic temperature management and the relationship between body temperature management and hypoglycemia was analyzed.Results The body temperature of the neonates in the intervention group was 0.4 to 0.6℃ higher than that in the control group at 2h after birth，and the body temperature was constant，and the blood glucose at 30 min to 2h after birth in the intervention group was higher than that in the control group.The incidence of hypoglycemia in the control group was 14.82%，which was higher than that in the intervention group 4.01%，the difference was statistically significant(P<0.05).Conclusion There is a certain correlation between the birth temperature management of newborns and the incidence of neonatal hypoglycemia.A reasonable and systematic management of neonatal temperature can effectively reduce the incidence of hypothermia after birth and reduce the incidence of hypoglycemia in newborns after birth.
, 百拇医药
Key words：Newborn；Hypothermia；Hypoglycemia；Temperature management
新生兒耐受外界环境变化的能力较低，容易受外界环境变化影响而发生体温异常，从而影响其新陈代谢和生理功能的正常进行[1]。新生儿出生时产热能源主要来自糖代谢，低体温可耗竭产热的棕色脂肪，脂代谢过程中消耗大量糖原，导致糖异生途径，糖原分解途径中酶类活性降低，升糖激素活性降低，使血中葡萄糖来源减少[2]；同时寒冷刺激可刺激交感神经兴奋，代谢肺通气量及心搏出量均增加，加速糖原分解，引发新生儿低血糖症[3]。新生儿低血糖症诊断主要依靠临床血糖监测[4]。而新生儿出生体温受环境、季节、护理处置等多种因素影响，故我院新生儿科于2016年加强新生儿出生体温管理，并结合出生新生儿临床血糖检测，研究其临床相关性，以求更好的予以新生儿临床护理，减少新生儿损伤。, http://www.100md.com(王晖)
关键词：新生儿；低体温；低血糖症；体温管理
中图分类号：R722.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.026
, http://www.100md.com
文章编号：1006-1959(2018)15-0086-03
Clinical Correlation Between Neonatal Temperature Management and Neonatal Hypoglycemia
WANG Hui
(Department of Pediatrics，Tianjin Shuige Hospital，Tianjin 300100，China)
Abstract：Objective To study the clinical effect of neonatal body temperature management and its correlation with neonatal hypoglycemia.Methods 2240 newborns born in our hospital from January 2016 to December 2017 were randomly divided into control group(n=1120)and intervention group(n=1120).In the control group，the neonate was routinely treated，and the intervention group was strengthened to require the neonatal body temperature management and disposal operation to detect the body temperature and blood sugar at different stages after the birth of the newborns.The clinical effect of systemic temperature management and the relationship between body temperature management and hypoglycemia was analyzed.Results The body temperature of the neonates in the intervention group was 0.4 to 0.6℃ higher than that in the control group at 2h after birth，and the body temperature was constant，and the blood glucose at 30 min to 2h after birth in the intervention group was higher than that in the control group.The incidence of hypoglycemia in the control group was 14.82%，which was higher than that in the intervention group 4.01%，the difference was statistically significant(P<0.05).Conclusion There is a certain correlation between the birth temperature management of newborns and the incidence of neonatal hypoglycemia.A reasonable and systematic management of neonatal temperature can effectively reduce the incidence of hypothermia after birth and reduce the incidence of hypoglycemia in newborns after birth.
, 百拇医药
Key words：Newborn；Hypothermia；Hypoglycemia；Temperature management
新生兒耐受外界环境变化的能力较低，容易受外界环境变化影响而发生体温异常，从而影响其新陈代谢和生理功能的正常进行[1]。新生儿出生时产热能源主要来自糖代谢，低体温可耗竭产热的棕色脂肪，脂代谢过程中消耗大量糖原，导致糖异生途径，糖原分解途径中酶类活性降低，升糖激素活性降低，使血中葡萄糖来源减少[2]；同时寒冷刺激可刺激交感神经兴奋，代谢肺通气量及心搏出量均增加，加速糖原分解，引发新生儿低血糖症[3]。新生儿低血糖症诊断主要依靠临床血糖监测[4]。而新生儿出生体温受环境、季节、护理处置等多种因素影响，故我院新生儿科于2016年加强新生儿出生体温管理，并结合出生新生儿临床血糖检测，研究其临床相关性，以求更好的予以新生儿临床护理，减少新生儿损伤。, http://www.100md.com(王晖)