Clinical analysis of diabetic mother neonatal blood glucose intervention in the perinatal period
10.3760/cma.j.issn.1008-6706.2016.04.032
- VernacularTitle:母亲妊娠期糖尿病新生儿围生期血糖干预临床分析
- Author:
Jinghua XU
- Publication Type:Journal Article
- Keywords:
Infant,newborn;
Gestational diabetes mellitus;
Blood sugar;
Perinatal period;
Interven-tion
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;(4):607-610,611
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influences of different intervention in maternal gestational diabetes newborn(IDMs)on blood glucose and complications in the perinatal period.Methods 205 IDMs were divided into observation group and control group.The observation group was born within 1 hour after birth or use baby bottles or nasogastric(feeding)feeding 10% glucose 5mL/kg.1-2 hours,raw milk,2-3 hours after until the normal blood glucose 2 times in a row.The control group was given priority to with breastfeeding,feeding difficulty with artificial feeding.Born after 1h,2h,3h,6h,12h,24h,48h,blood sugar,high statistical neonatal hypoglycemia,neonatal bilirubin levels,neonatal diseases were monitored.Results There was no significant difference in incidence of hypoglycemia between the two groups (P >0 .0 5 ).Born after2 h and 3 h ,the glucose levels ofthe control group were (3 .0 1 ± 0.45)mmol/L,(3.02 ±0.51 )mmol/L,respectively,those in the observation group were (3.14 ±0.72)mmol/L, (3.18 ±0.69)mmol/L,there were significant differences between the two groups(t =3.901,4.236,all P <0.05). The incidence rates of hypoglycemia in the control group 2h,3h after birth were 28.0%,19.0%,those in the observa-tion group were 5.7% and 2.8%,there were significant differences between the two groups(χ2 =9.215,6.852,all P <0.05).Born after 12h,24h,48h,the blood glucose levels in the two groups were in the normal range,there were no significant differences (all P >0.05 ).The incidence rate of hyperbilirubinemia in the observation group was 21.0%,which was significantly lower than the control group 8.6%,there was significant difference between the two groups(χ2 =5.216,P <0.05 ).Conclusion IDMs different intervention methods in the perinatal period can decrease the incidence of low blood sugar 2h,3h after birth,reduce the incidence of high neonatal bilirubin,and have no effect on other diseases of newborn babies.
