血乳酸联合血糖监测在产后新生儿窒息诊断中的应用

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1、血乳酸联合血糖监测在产后新生儿窒息诊断中的应用血乳酸联合血糖监测在产后新生儿窒息诊断中的应用摘要目的：探讨血乳酸联合血糖监测在产后新生儿窒息诊断中的应用价值。方法：选取2013年2月-2014年3月在我院出生的80例发生窒息的新生儿为观察组，并选取同期健康新生儿30例作为对照组。统计分析两组血乳酸和血糖水平与新生儿窒息的关系并进行产后新生儿窒息发生的危险因素的多因素分析。结果：观察组血乳酸和血糖水平分别为(5.86±2,18)mmol/L和(5.15±2.26)mmol/L,显著高于对照组的(2・81±0・49)mmol/L和(2・74土0

2、.62)mmol/L,差异有统计学意义(P<0.05)oPearson相关性分析结果显示，血乳酸和血糖水平均与新生儿窒息呈负相关(P〈0・05)。logistic多元回归分析结果显示产后新生儿窒息发生的危险因素有高血乳酸、血糖、间接胆红索和血压等。结论：血乳酸联合血糖监测可能成为产后新生儿窒息的重要预测指标，可用于产后新生儿窒息的辅助诊断。关键词血乳酸血糖监测新生儿窒息诊断中图分类号：R446.11；R722.12文献标识码:B文章编号:1006-1533(2014)19-0043-03Applicationofthemonitoringo

3、fbloodlacticacidandbloodsugarlevelsinthediagnosisofpostparturnneonatalasphyxia*LUOXiaohua**(Departmentofneonatology,TheMaternalandChildCareServiceCentreofGanzhouCity,Ganzhou341000,China)ABSTRACTObjective：Toinvestigatetheroleofthemonitoringofbloodlacticacidandbloodsugarleve

4、lsinthediagnosisofpostpartumneonatalasphyxia・Methods：EightynewbornswithasphyxiainourhospitalfromFebruary,2013toMarch,2014wereselectedasanobservationgroupandmeanwhile30caseshealthynewbornsasacontrolgroup.Bloodlactateandbloodsugarlevelsintwogroupswerecompared.Therelaticmship

5、betweenpostpartumneonatalasphyxiaandbothbloodlactateandbloodsugarlevelsandriskfactorsofpostpartumneonatalasphyxiawereanalyzed・Results：Bloodlactateandbloodsugarlevelsintheobservationgroupwere(5.86±2・18)mmol/Land(5.15±2・26)mmol/L,whichweresignificantlyhigherthanthe(2.81+0.49

6、)mmol/Land(2.74±0.62)mmol/Linthecontrolgroup(P<0.05).TheresultsofPearsoncorrelationanalysisshowedthatbothbloodlactateandbloodsugarlevelswerenegativelycorrelatedwithpostpartumneonatalasphyxia(P<0.05)・TheresultsofLogisticmultivariateregressionanalysisshowedthattheriskfactors

7、resultinginpostpartumnewbornsasphyxiawereascribedtothehighlevelsofbloodlacticacid,bloodsugarandindirectbilirubinandbloodpressure,etc・Conclusion：Thelevelsofbothbloodlacticacidandbloodsugarmaybeasanimportantpredictorsforpostpartumneonatalasphyxia,whichcanbeusedfortheauxiliar

8、ydiagnosisofpostpartumneonatalasphyxia・KEYWORDSbloodlacticacid；bloodsugar；monitoring；post