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葡萄糖注射液结合早期护理对剖宫产新生儿低血糖的干预效果
邵日智1,国宏莉2
0
(1. 杭州市妇产科医院,浙江杭州 310008;2. 湖北医药学院,湖北十堰 442000)
摘要:
目的:探讨葡萄糖注射液结合早期护理对剖宫产新生儿低血糖的干预效果。方法:选择2014年11月至2015年11月杭州市妇产科医院收治的因剖宫产发生低血糖的患儿共60例,采用随机数字表法分为观察组和对照组各30例。对照组仅采用 葡萄糖注射液常规治疗,观察组在对照组治疗基础上给予早期护理,治疗3 d后观察两组患儿血糖浓度的变化和并发症的发生情况。结果:治疗3 d后观察组患儿血糖浓度恢复正常且高于对照组[(3.45±0.13)mmol/ L vs(2.24±1.11) mmol/L, P<0.05],震颤、抽搐、呼吸不规则、尖叫的发生率低于对照组(3.33% vs 13.33%、3.33% vs 16.67%、6.67% vs 20.00%、3.33% vs 10.00%,P均<0.05)。结论:葡萄糖注射液结合早期护理可有效纠正新生儿的低血糖状态、预防并发症状的发生,值得临床推 广应用。
关键词:  剖宫产  新生儿  低血糖  葡萄糖注射液  早期护理
DOI:doi:10.13407/j.cnki.jpp.1672-108X.2016.08.012
基金项目:湖北省教育厅课题,编号B2013122。
Effect of Glucose Injection Combined with Early Nursing Intervention For Hypoglycemia Newborn by Cesarean Section
Shao Rizhi1 , Guo Hongli2
(1. Obstetrics and Gynecology Hospital of Hangzhou, Zhejiang Hangzhou 310008, China; 2. Hubei Medical College, Hubei Shiyan 442000, China)
Abstract:
Objective: To study the effect of glucose injection combined with early nursing intervention for hypoglycemia newborn by cesarean section. Methods: A total of 60 newborns by cesarean section diagnosed as hypoglycemia from November, 2014 to November, 2015 were randomly divided into control group and experiment group with 30 cases in each group. The newborns in control group received glucose injection, and the newborns in experiment group received glucose injection combined with early nursing intervention. Then we compared the change of glucose and complication rates. Results: The level of glucose after treatment in experiment group was significantly higher than control group [(3.45±0.13) mmol/L vs (2.24±1.11) mmol/L], the complication rate including tremors, convulsions, irregular breathing and scream, were all significantly lower in experiment group (3.33% vs 13.33%, 3.33% vs 16.67%, 6.67% vs 20.00%, 3.33% vs 10.00%). Conclusion: Glucose injection combined with early nursing intervention for hypoglycemia newborn by cesarean section could greatly increase hypoglycemia level and decrease complications.
Key words:  cesarean section  newborn  hypoglycemia  glucose injection  early nursing

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