新生儿低血糖症的危险因素:一个元分析
Dandan Wang1, Xuchen Zhou2, Juan Ning2
1Department of Neonatology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, P. R. China.
BMC endocrine disorders
|August 30, 2024
概括
对于妊娠年龄来说很小的剖腹产以及孕期糖尿病和高血压等母亲的疾病是新生儿低血糖症的关键危险因素. 呼吸困难综合征也显著增加了新生儿的风险.
科学领域:
- 新生儿医学 新生儿医学
- 围产期健康 围产期健康
- 公共卫生 公共卫生
背景情况:
- 新生儿低血糖是影响新生儿的常见但严重的疾病.
- 识别风险因素对于及时干预和改善结果至关重要.
研究的目的:
- 进行元分析,调查与新生儿低血糖相关的重大风险因素.
- 综合来自多个病例控制研究的证据,以提供全面的概述.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和Web of Science数据库中进行了系统的文献搜索.
- 包括到2023年10月1日发表的病例控制研究.
- 数据分析使用Stata 15.0.0.进行.
主要成果:
- 分析包括12项研究,其中991名新生儿在低血糖组,4388名新生儿在非低血糖组.
- 确定的重大风险因素包括剖腹产 (OR=1.90),小妊娠年龄 (OR=2.88),妊娠糖尿病 (OR=1.65),妊娠高血压 (OR=2.79) 和呼吸困扰综合征 (OR=5.33).
结论:
- 剖腹产,小妊娠年龄,妊娠糖尿病,妊娠高血压和呼吸困扰综合征是新生儿低血糖症的确诊危险因素.
- 这些发现强调了监测和管理这些因素在高危怀孕和新生儿中的重要性.
相关概念视频
Pathophysiology of Diabetes
908
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
908
Hypoglycemia and Glucagon
217
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
217
Diabetes Mellitus: Type 2 and Gestational
2.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.3K
Diabetes Mellitus: Overview and Type I Subtype
2.5K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.5K
Inborn Errors of Metabolism
146
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
146


