新生儿低血糖风险预测模型的构建及验证.docx

新生儿低血糖风险预测模型的构建及验证

张少艳张玮蔡婷婷

[关键词]?新生儿；低血糖；危险因素；预测模型

[中图分类号]?R722??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.11.010

Construction?and?validation?of?neonatal?hypoglycemia?risk?prediction?model

ZHANG?Shaoyan1，?ZHANG?Wei1，?CAI?Tingting2

1.Ward?24，?Obstetric?Nursing?Unit，?the?First?Affiliated?Hospital?of?Wenzhou?Medical?University，?Wenzhou?315000，?Zhejiang，?China;?2.School?of?Nursing，?Fudan?University，?Shanghai?200032，?China

[Abstract]?Objective?To?investigate?the?risk?factors?of?neonatal?hypoglycemia，?establish?the?risk?prediction?model?of?neonatal?hypoglycemia?and?test?the?effectiveness?of?the?model.?Methods?Retrospective?analysis?was?performed?to?collect?clinical?data?of?727?newborns?and?pregnant?mothers?who?were?delivered?in?a?Grade?Ⅲ?general?hospital?from?October?2018?to?August?2020.?Univariate?analysis?and?multivariate?Logistic?regression?analysis?were?used?to?analyze?related?risk?factors?to?construct?prediction?models.?The?clinical?data?of?150?newborns?and?pregnant?women?from?September?2020?to?February?2021?were?selected?to?test?the?efficacy?of?the?model.?Results?Multivariate?Logistic?regression?analysis?showed?that?feeding?problems，?neonatal?hypothermia，?neonatal?complications，?gestational?diabetes?and?fetal?distress?were?independent?risk?factors?for?neonatal?hypoglycemia?（P0.05）.?The?model?verification?results?showed?that?the?area?under?the?curve?（AUC）?was?0.883，?the?sensitivity?was?82.97%，?the?specificity?was?88.35%，?the?positive?predictive?value?was?76.47%，?the?negative?predictive?value?was?91.92%，?and?the?total?accuracy?of?the?model?was?88.67%，?which?had?a?good?prediction?ability.?Conclusion?The?prediction?model?established?in?this?study?has?a?good?ability?to?predict?the?risk?of?neonatal?hypoglycemia，?which?can?be?used?to?provide?reference?for?early?screening?of?high-risk?groups?of?neonatal?hypoglycemia?and?starting?predictive?nursing?intervention?measures.

[Key?words]?Neonates;?Hypoglycemia;?Risk?factors;?Predictive?models

1??对象与方法

1.1??研究对象