儿童肥胖时,往往合并各种异常、常有高胰岛素血症、糖耐量及脂肪代谢的异常等。以往治疗肥胖症有仅把体重做为重点,多数人认为其合并症只要体重减少,病情就会减轻,但对处于发育期的儿童进行严格的饮食控制,患儿及其家长都是难以接受的。因此,如何更有效地治疗肥胖及实施医学管理办法的研究是必要的。本文以研究胰岛素代谢为中心,对其合并症及预后进行探讨。以83名肥胖儿童为对象(肥胖度+20％以上),男69名,女 Childhood obesity, often combined with various abnormalities, often hyperinsulinemia, impaired glucose tolerance and fat metabolism and so on. In the past, there was weight-based treatment for obesity. Most people think their complications will be reduced as soon as their weight is reduced. However, children and their parents are unacceptable for their strict diet control during the developmental period . Therefore, it is necessary to study how to treat obesity more effectively and to implement medical management methods. In this paper, the study of insulin metabolism as the center, to discuss its complications and prognosis. To 83 obese children as the object (obesity + 20% or more), 69 men and women