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探討第一型糖尿病患童血糖控制與生長之相關性

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探討第一型糖尿病患童血糖控制與生長之相關性

小學一年級至國中三年級 ( 學齡期及青春期 ) 是生長發育 的主要時期。本研究的主要目的是探討第一型糖尿病的血 糖控制的狀況是否會影響發育。收集曾經或現在台北市某 醫學中心持續追蹤,且回溯追蹤期在 4 歲至 15 歲年齡層 的個案,原有一百二十七位,排除年齡層不合的個案後納 入本研究;其中男女生的比率約 1 比 2(38 : 80) 。收集個 案於追蹤期的體位測量 ( 身高及體重 ) ,以瞭解其生長狀 況;以糖化血色素來評估衡量血糖控制的狀況。所採用的 統計分析方法為 Student’s t 檢定、配對 t 檢定 (paired t test) 及皮耳森相關係數 (Pearson's correlation coefficient ) 。 研究結果顯示:由本研究結果顯示:血糖控制的好壞,對 於每年生長速度的年齡有影響,但對生長體位的最終影響 並不明顯。

(2)

Relationship between blood glucose control and growth

The periods of basic to senior school are the main growth times. To assess

the linear growth and height outcomes and the influence of metabolic contr

ol in children with type 1 diabetes mellitus (DM). Retrospective longitudin

al evaluation of 127 children with prepubertal onset of type 1 diabetic child

ren between 4 to 15 yr of age was concerned. The ratio of males and femal

es is about one to two exclude those criteria’s are not match. Collect data in

cluding times of ketoacidosis, blood sugar and values of glycated hemoglo

bin ( HbA1c ) in order to assess clinically and metabolically control. Th

e mean heights were no significant difference in girls and boys. There was

normal linear growth in girls and boys. This was not statistically different f

rom There was also no significant correlation between metabolic control an

d linear growth in either girls or boys. Linear growth and near-final height

in children with type 1 DM compares favorably with the general populatio

n. Although there was some evidence of suboptimal growth spurt in girls a

nd boys, the final height was no significant correlation with their metabolic

control.

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