Implementing a Protocol Using Glucose Gel to Treat Neonatal Hypoglycemia.
Implementing a Protocol Using Glucose Gel to Treat Neonatal Hypoglycemia.
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DOI：
10.1016/j.nwh.2015.11.001
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发表时间：
2016-02-01
影响因子：
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通讯作者：
Flicker, Jai
中科院分区：
文献类型：
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作者：
Bennett, Catherine;Fagan, Elyse;Flicker, Jai
新生儿低血糖是新生儿入住NICU的主要原因。新生儿低血糖症的典型治疗包括补充配方奶粉，或在某些情况下，静脉注射葡萄糖。这些治疗虽然对治疗低血糖有效，但会中断纯母乳喂养并干扰母婴联系。我们的机构为新生儿低血糖风险的新生儿开发了一种治疗方案。新算法要求口服40%葡萄糖凝胶。这种干预导致新生儿重症监护室低血糖的入院率下降了73%，并支持纯母乳喂养，皮肤接触和母婴联系。
Neonatal hypoglycemia is a leading cause of admission of neonates to the NICU. Typical treatment for neonatal hypoglycemia includes supplementation with formula or, in some cases, intravenous glucose administration. These treatments, though effective at treating hypoglycemia, interrupt exclusive breastfeeding and interfere with mother-infant bonding. Our institution developed a treatment algorithm for newborns at risk for neonatal hypoglycemia. The new algorithm called for the oral administration of 40% glucose gel. This intervention resulted in a 73% decreasein admission rates to the NICU for hypoglycemia, and it supported exclusive breastfeeding, skin-to-skin contact, and mother-infant bonding.