不同消化道重建术式对胃癌合并2型糖尿病患者糖代谢影响的回顾性分析-临床医学(普外科)专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要…………………………………………………………………………(1) 英文摘要…………………………………………………………………………(2) 引 言…………………………………………………………………………(3) 资料和方法………………………………………………………………………(4) 结 果…………………………………………………………………………(5) 讨 论…………………………………………………………………………(6) 结 论…………………………………………………………………………(10) 参考文献…………………………………………………………………………(11) 致 谢…………………………………………………………………………(13) 综 述…………………………………………………………………………(14) 不同消化道重建术式对胃癌合并 2 型糖尿病患者糖代谢 影响的回顾性分析 摘要 目的：通过观察两种消化道重建手术对胃癌合并2型糖尿病患者糖代谢情况的影 响，从而分析两种手术方式对胃癌合并2型糖尿病患者的临床意义，也为2型糖尿 病行手术治疗提供参考依据。 方法：回顾性观察福建医科大学附属第一医院于2006-2011年106例胃癌合并2型 糖尿病患者分别在接受两种不同消化道重建手术的患者(其中BillrothⅠ式组22 例，BillrothⅡ式组84例)，对照手术前后血糖、胆固醇、糖化血红蛋白以及糖尿 病治疗措施的变化。 结果：接受BillrothⅠ式吻合术患者术后3个月和6个月的各项指标的差异无统计 学意义（P0.05），而接受BillrothⅡ式吻合术患者术后3个月和6个月的各项指标 的差异均有统计学意义（P0.05）。 结论：胃癌伴2型糖尿病接受BillrothⅡ式吻合术的患者术后糖尿病糖代谢情况可 得到改善。 关键词：胃癌，2型糖尿病，糖代谢，BillrothⅠ式，BillrothⅡ式 1 A retrospective analysis of the Effect of Different Alimentary Reconstruction after Radical Surgery for Gastric Cancer on Blood Glucose in Patients with Type 2 Diabetes Abstract Objective: To discuss the effec of two different rebuild on glucose metabolism in patients with gastric cancer comp licated with type 2 diabetesmellitus (T2 DM). Methods : The retrograde analysis was made in 106 cases of gastric cancer with type 2 diabetes from 2006 to 2011 of Fujian Medical University. These patients were divided into two groups，distal gastrectomy with BillrothⅠanastomosis (n = 22)，distal gastrectomy with BillrothⅡanastomosis (n = 84). The levels of fast blood glucose、 cholesterol and glycated hemoglobin were detected in patients before，after 3 months and 6 months operation in two groups. The therapeutic regime for T2DM after the operation was also analyzed. Results: The group of Billroth I gastrectomy each index has no significant change after three months and six months of postoperative. And the group of Billroth Ⅱ gastrectomy each index has obvious change after three months and six months of postoperative. Conclusion: Billroth Ⅱ gastrectomy is effective for