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《Journal of Nursing(China)》 2006-09
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The Dynamic Monitoring of Blood Sugar in Suffocated Neonates and Nursing Care

CHANG Xiang-xiu XU Jie LIU Fei-fei XU Bo ZHAO Xiu-juan (Dept.of Pediatrics,Ji'nan General Hospital of PLA,Ji'nan 250031,China)  
Objective To explore the rule of dynamic changes of blood sugar in neonates as well as corresponding nursing strategies. Methods The blood sugar of 42 suffocated neonates(suffocation group)at 1,6,12,24,36,48 and 72 hours after birth was monitored dynamically and another 30 healthy neonates were selected as controls.Results The blood sugar of severely-suffocated neonates at 6 and 12 hours after birth and escalated to its pinnacle at 6 hours,showing significant difference compared with the controls and the mildly-suffocated neonates(P<0.01).After that,the blood sugar of severely-suffocated neonates began to descend to its minimum at 36 hours,showing significant differences compared with the control group and the mildly-suffocated neonates(P<0.05). But no significant differences were statistically found between the controls and the mildly-suffocated neonates at each time point(P>0.05).Conclusion The monitoring of blood sugar of neonates should be enhanced within 72 hours after birth,pertinent to the features of their sugar changes at different time points.If necessary,it should be tested once every,two hours.The observation over the symptoms of hyperglycaemia and hypoglycaemia should be enhanced.In 14 hours after birth,it is prudent to use GLU fluid at fluid replacement and hypertonic glucose fluid is forbidden.After 12 hours,the neonates can be fed with mild to add the amount of milk.
【CateGory Index】: R473.72
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