探讨胰腺癌中糖尿病患者临床特征及糖尿病与胰腺癌关系.docVIP

探讨胰腺癌中糖尿病患者临床特征及糖尿病与胰腺癌关系 　　【摘要】 目的：探讨胰腺癌中糖尿病患者的临床特征及糖尿病与胰腺癌之间的关系。方法：挑选2012年10月-2016年10月笔者所在医院收治48例胰腺癌合并糖尿病患者与同期48例未合并糖尿病的胰腺癌患者进行研究，分别为糖尿病组和非糖尿病组。对比两组胰腺癌表征、胰腺癌与糖尿病的关系。结果：两组患者的腹痛发生率比较，差异无统计学意义（P0.05）。糖尿病组的黄疸发病率54.2%，高于非糖尿病组的31.3%；精神差的患者比例52.1%，高于非糖尿病组的27.1%；差异均有统计学意义（P0.05）；而糖尿病组肿瘤大小、分化程度与非糖尿病组比较，差异均有统计学意义（P0.05）。早期12例胰腺癌发病的糖尿病患者，占比为25.0%，40例患者同时检查出胰腺癌，占比为83.3%。结论：胰腺癌患者并发糖尿病有着明显的临床特征，对此需要尽早筛查，利于早期诊断，及时实施治疗，以改善患者预后。 　　【关键词】 胰腺癌； 糖尿病； 临床特征 　　doi：10.14033/j.cnki.cfmr.2017.29.013 文献标识码 B 文章编号 1674-6805（2017）29-0026-02 　　Clinical Features of Diabetes Mellitus in Patients with Pancreatic Cancer and the Relationship between Diabetes and Pancreatic Cancer/XIAO Wei.//Chinese and Foreign Medical Research，2017，15（29）：26-27 　　【Abstract】 Objective：To investigate the relationship between diabetes mellitus and pancreatic cancer in patients with diabetes mellitus.Method：48 patients of pancreatic cancer with diabetes were selected in our hospital from October 2012 to October 2016 as diabetic group，at the same time，48 patients of pancreatic cancer without diabetes as the non-diabetes group.The relationship between pancreatic cancer and diabetes mellitus was compared between the two groups.Result：There was no significant difference in the incidence of abdominal pain between the two groups（P0.05）.The incidence of jaundice in the diabetic group was 54.2%，higher than that in the non-diabetic group（31.3%），and the proportion of the mentally ill patients was 52.1%，higher than that in the non-diabetic group（27.1%），the differences were statistically significant（P0.05）；compared with the tumor size，differentiation degree between the diabetic group and non-diabetes group，the differences were statistically significant（P0.05）.As early as 12 cases of diabetic patients with pancreatic cancer，accounted for 25.0%，and 40 patients with pancreatic cancer，accounted for 83.3%.Conclusion：Pancreatic cancer patients with diabetes mellitus have obvious clinical features，so early screening is necessary for