在没有进行葡萄糖耐受性测试的母亲生下的婴儿中,新生儿低血糖症查实践
Jenna Scholl1, Adharsh Ponnapakkam2,3, Ruben Molina4
1Department of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA.
概括
新生儿低血糖症 (NH) 查评估的婴儿出生于缺乏足够的口服葡萄糖耐受性测试 (OGTT) 的母亲. 大多数没有其他症状的婴儿至少接受过一次血糖查.
科学领域:
- 新生儿护理 新生儿护理
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 适当的口服葡萄糖耐受性测试 (OGTT) 对于识别新生儿低血糖症 (NH) 的母亲风险因素至关重要.
- 对NH的查方案是必不可少的,特别是在患有低于最佳OGTT的母亲产生的婴儿.
- 这项研究解决了在特定人群中理解NH查实践的差距.
研究的目的:
- 描述新生儿低血糖 (NH) 查实践,用于没有足够口服葡萄糖耐受性测试 (OGTT) 的母亲生下的婴儿.
- 评估NH查在具有特定孕产妇风险因子的婴儿队列中的程度.
主要方法:
- 进行了一项单一中心的回顾性研究.
- 审查了2014年至2021年期间的期末和晚期早产婴儿的活产情况.
- 确定了没有足够的OGTT的母亲,并评估了他们的婴儿的NH查实践.
主要成果:
- 在13338次分娩中,0.98% (131) 的婴儿来自没有适当的OGTT的母亲.
- 其中,102名婴儿没有其他NH查的迹象.
- 68%的患者 (69/102) 接受了至少一次医疗中心血糖测量,61.7%的患者 (63/102) 接受了至少三次医疗中心血糖测量.
结论:
- 在这个军事医院人口中,很少有母亲没有接受适当的OGTT.
- 这些母亲所生的大多数婴儿,没有其他查迹象,接受了某种程度的NH查.
- 进一步的研究可能是有必要的,以优化NH查方案在风险人群.
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