患有1型糖尿病的儿童的膀和肠道功能障碍的患病率和危险因素
Kristen Favel1,2, Maryellen S Kelly3,4, Shing Tat Theodore Lam5,6
1Division of Pediatric Nephrology, Department of Pediatrics, University of California San Francisco, San Francisco, California, USA.
Pediatric diabetes
|August 27, 2025
概括
与健康同龄人相比,患有1型糖尿病 (T1D) 的儿童患有肠道和膀功能障碍 (BBD) 的患病率更高. 低血糖控制与BBD有关,强调了儿童T1D早期查和干预的必要性.
科学领域:
- 儿童内分泌学
- 胃肠病学
- 泌尿外科
背景情况:
- 在1型糖尿病 (T1D) 的成年人中,尿道并发症很常见.
- 关于儿童T1D的肠道和膀功能障碍 (BBD) 的数据有限.
- 本研究探讨了BBD在T1D儿童中的患病率,危险因素和影响.
研究的目的:
- 确定T1D儿童与健康对照儿童的BBD患病率.
- 在儿童T1D中确定与BBD相关的临床因素.
- 评估儿童T1D中与BBD症状相关的烦.
主要方法:
- 在5至16岁的T1D儿童和对照人群中进行横截式多中心调查.
- 温哥华症状评分 (VSS) 用于评估肠道和膀症状.
- BBD定义为VSS分数≥11,用于风险因素分析的逻辑回归.
主要成果:
- 在T1D中,BBD的患病率为21. 5%,对照组为10. 5%.
- 较差的血糖控制与T1D中更高的BBD概率相关.
- 尿失禁造成的麻烦最大;男性伴有更大的症状麻烦.
结论:
- 儿童T1D与BBD的患病率显著上升.
- 在儿童T1D中,早期发现和干预BBD至关重要.
- 包括血糖控制在内的全面T1D管理对于减轻BBD负担至关重要.
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