신생아 저혈당과 호르몬, 뇌파, AEP와의 관계

Correlation of EEG, AEP, hormones with neonatal hypoglycemia

We observed clinical features of 36 neonatal hypoglycemic patients who was admitted to the neonatal cere unit in the pediatric department of Tae Jeon Eul Ji Hospital during the period from April 1994 to February 1995. The result are as follows : 1) The incidence of neonatal hypoglycemia was 1.2%. Male to female ratio were 1:1.12. 2) The most frequent cause of neonatal hypoglycemia was LGA(large for gestational age) (50%) and SGA(small for gestational age)(19%), and followed by LBW(lower birth weight)(5.5%), prematurity(5.5%), sepsis(5.5%), birth asphysia(5.5%), gestational DM(3%), polycythemia(3%), unknown(3%) in order of frequency. 3) The result of EEG finding was normal (41%) and abnormal(59%). In abnormal EEG finding, mild(31.3%), mild to moderate(21.9%), moderate(3.1%) and moderate to markedly abnormal EEG(3.1%) were detected. 4) The mean serum level of hypoglycemic neonate was 24.25±7.64mg/dL in glucose, 2.75±4.69µg/dL, 39.43±24.21 1µU/ml, respectively. 5) Brain sonographic findings were normal(83.2%), mild brain swalling(5.6%), left ventri-cular leukomalasia(2.8%) and mild left ventricular dilatation(2.8%). 6) The finding of AEP(auditory evorked potential) was normal(95.4%) except 1 case(4.6%).