Risk Belirlenen Bebeklerde Hipoglisemi İnsidansı

Yıl 2020, Cilt: 14 Sayı: 6, 512 - 517, 30.11.2020

Özge Yüce , Deniz Anuk-ince

https://doi.org/10.12956/tchd.784141

Öz

Amaç:
Bu retrospektif çalışmanın amacı risk altındaki bebeklerde hipoglisemi insidansını belirlemek ve doğum sonrası 48 saate kadar sonuçlarını değerlendirmekti. Ayrıca hipoglisemi olan ve olmayan bebeklerin demografik özelliklerini karşılaştırmayı amaçladık.

Yöntemler:
Hipoglisemi ICD kodu ile taranan yenidoğanlar risk faktörleri açısından değerlendirildi ve hastalar risk faktörlerine göre gruplandırıldı. Risk altındaki tüm bebekler doğum sonrası 48 saate kadar tarandı. hipoglisemi, bebeğin yaşına bakılmaksızın kan şekeri konsantrasyonunun 47 mg / dl'nin altında olması olarak tanımlandı.

Bulgular:  823 bebekte hipoglisemi ICD kodu ile doğumdan 48 saat sonra kan şekeri konsantrasyonu ölçüldü. Bu bebeklerin 251'inde (% 30,4) hipoglisemi saptandı. 823 bebekten 215'i (% 26) hipoglisemi için en az bir risk faktörüne sahip olduğu için tarandı. Bunların 149'unda (% 69,3) hipoglisemi saptandı. Diyabetik anne bebeği dışında risk altındaki tüm bebeklerde hipoglisemi insidansı artmıştır. Bununla birlikte, risk altındaki bebeklerin tamamına yakını ilk 24 saatte hipoglisemi geliştirmesine rağmen, 7'sinde (% 4,6) postnatal 24-48 saat içinde hipoglisemi tespit ettik. Hipoglisemik olan ve olmayan risk altındaki bebeklerin demografik özelliklerinde istatistiksel olarak anlamlı farklılıklar vardı.

Tartışma:
Hipoglisemi risk altındaki bebeklerde yaygındır. Erken ve zamanında teşhis ve tedavi olmadan, nörolojik ve gelişimsel olumsuz sonuçlara neden olabilir. Bu nedenle, etkisini azaltmak için risk altındaki bebeklerde kan şekeri düzeyinin sürekli olarak izlenmesi gerekir.

Anahtar Kelimeler

hipoglisemi insidansı, risk faktörleri, neonatal hipoglisemi

Hypoglycemia Incidence in Babies Identified as at Risk

Öz

Aim: The aim of this retrospective study was to determine the incidence of hypoglycemia in babies at risk and to examine our follow-up results up to 48 hours postnatally. It is also aimed at comparing the demographic characteristics of babies with and without hypoglycemics.

Methods:
The newborns screened with hypoglycemia ICD code were evaluated in terms of risk factors, and the patients were grouped according to risk factors. All babies at risk were screened up to 48 hours postnatally. hypoglycemia was defined as a blood glucose concentration <47 mg/dl, regardless of the age of the baby.

Results:
Blood glucose concentration first 48 hours after birth was measured in 823 babies with the hypoglycemia ICD code. Hypoglycemia was detected in 251 (30.4%) of these babies. 215 (26%) out of 823 babies were screened for having at least one risk factor for hypoglycemia. Hypoglycemia was detected in 149 (69.3%) of them. Incidence of hypoglycemia increased in all babies at risk except infant of diabetic mother. Even through although almost all of the babies at risk developed hypoglycemia in the first 24 hours, we detected hypoglycemia in 7 of them(4.6%) during postnatal 24-48 hours. There were statistically significant differences in demographic characteristics of babies at risk who did and did not become hypoglycemic.

Conclusions: Hypoglycemia is common in babies at risk. Without early detection and timely diagnosis and treatment can cause negative consequences of neurological and developmental. therefore, continuous monitoring of blood glucose level in babies at risk should be performed to reduce its impact.

Anahtar Kelimeler

hypoglycemia incidence, risk factors, neonatal hypoglycemia

Kaynakça

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