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在老年医学的进展中论述有关内分泌疾病的部分是本文的目的。但是,所谓内分泌疾病的范围是很广泛的。因此,对其全貌的论述是不容易的。本文打算就最近所引人注目的问题以及临床的重要问题作重点讨论。尽管如此,仍有许多话题。以下,拟分题进行阐述。一、加龄和糖尿病随着年龄的增长,尿糖阳性者也增加这一事实是众所周知的。对于这些糖尿阳性者进行糖负荷试验后得出糖尿病型的血糖曲线。但是,在达到老年后才开始有尿糖阳性者,其糖代谢异常一般是轻度的,预后多数是良好的。所以把这些人当作糖尿病,或是单纯加龄所伴有的生理性变化?这还有争论。而且,假若是由于生理的变化的话,那么是在哪里,发生了什么样的变化?进行治疗可能会好些吗?以上问题现在正在研究中,尚未完全解决。至今的研究确立如下几方面: 1.老年人的耐糖能力低下不是单一的机转。2.老年人中真性糖尿病的病例也不少。真性糖尿病人胰岛素的分泌有障碍,且易发生糖尿病性视网膜症等血管合并症。并促使动脉硬化和脑梗塞的发生。
It is the purpose of this article to address the part about endocrine disorders in the advancement of geriatrics. However, the so-called endocrine disease is very broad in scope. Therefore, the whole picture of the discussion is not easy. This article intends to focus on the most prominent and clinically important issues. In spite of this, there are still many topics. The following, to be divided into questions to elaborate. First, age and diabetes With age, urine sugar-positive people also increase the fact that is well known. For these diabetes-positive glucose load test carried out after diabetes type blood glucose curve. However, people who start to have urinary sugar after reaching old age usually have mild glucose metabolism, and the prognosis is mostly good. So these people as diabetes, or simply aging associated with the physiological changes? This is still debatable. Moreover, if it is due to physiological changes, then where is, what changes have taken place and the treatment may be better? The above problems are now under study, has not yet been fully resolved. The research has so far established the following aspects: 1. Older people with poor glucose tolerance is not a single mechanism. 2. There are also many cases of true diabetes in the elderly. True diabetic patients have impaired insulin secretion, and prone to vascular complications such as diabetic retinopathy. And promote atherosclerosis and cerebral infarction.