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近年来,糖尿病患儿心血管疾病发病率和死亡率呈上升趋势,而目前推荐的治疗方案都来自成人的指南,这些指南缺乏在小儿中应用的证据。糖尿病并发心血管病独立的危险因素小儿与成人相似,主要是肥胖、高血糖、胰岛素抵抗、血脂异常、血管内皮功能障碍、微量蛋白尿等。小儿正处于生长发育期,所以在处理上应与成人有所不同,即凡影响小儿生长发育的措施都应避免。
In recent years, the incidence and mortality of cardiovascular diseases in children with diabetes have been on the rise. However, the currently recommended treatment options are all from adults and these guidelines lack evidence for application in children. Independent risk factors for diabetes complicated with cardiovascular disease Pediatric and adult similar, mainly obesity, hyperglycemia, insulin resistance, dyslipidemia, vascular endothelial dysfunction, microalbuminuria and so on. Pediatric is in growth and development, so the treatment should be different with adults, that is, any measures to affect the growth and development of children should be avoided.