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患糖尿病的儿童抵抗力低,易罹患感染性疾病,其中慢性扁桃体炎和腺样体炎的发病率高达33.3%。慢性感染可致高儿茶酚胺血症、高血糖、高血酮症和对胰岛素的敏感性降低,从而使内分泌病变的失代偿加重。饮食疗法在糖尿病的治疗中有巨大意义,但78.5%的中毒过敏型慢性扁桃体炎和20%以上的慢性扁桃体炎患儿分别有胃分泌功能和营养紊乱。作者据此对有慢性扁桃体炎、腺样体炎,经保守治疗无持久效果的糖尿病患儿行扁桃体和/或腺样体切除术,作为糖尿病的综合治疗措施之一。共观察150例(男78,女72),年龄1岁9月～15岁,糖尿病病程6月～10年,慢性扁
Children with diabetes have low immunity and are susceptible to infectious diseases. The incidence of chronic tonsillitis and adenoiditis is as high as 33.3%. Chronic infection can cause high catecholaminemia, hyperglycemia, hypercholesterolemia and decreased sensitivity to insulin, so that the loss of endocrine lesions increased. Diet therapy has great significance in the treatment of diabetes, but 78.5% of children with toxic allergic chronic tonsillitis and 20% of children with chronic tonsillitis have gastric secretion and nutritional disorders respectively. According to the author of chronic tonsillitis, adenoiditis, conservative treatment of non-sustained diabetic patients with tonsil and / or adenoidectomy, as one of the comprehensive treatment of diabetes. A total of 150 cases were observed (male 78, female 72), aged 1-year-old from September to 15 years old, diabetes duration of 6 months to 10 years, chronic flat