糖尿病合并胰腺癌临床早期危险信号  

The early diagnosis study on diabetes mellitus complicated by pancreatic carcinoma

作　　者：王纪凤[1] 周恒忠[1] 

机构地区：[1]山东省淄博职业学院附属医院内科,山东淄博255314

出　　处：《中国医药导报》2010年第22期70-71,共2页China Medical Herald

摘　　要：目的:研究糖尿病合并胰腺癌临床早期危险信号,以便早期诊断。方法:采用病例对照研究。病例组36例为2型糖尿病合并胰腺癌患者,对照组40例为单纯2型糖尿病患者,并检测24种研究因素。结果:24种研究因素中,有16个因素具有统计学意义,即吸烟、饮酒、高脂饮食、胆石症、上腹痛、腰背痛、糖化血红蛋白、三酰甘油、高密度脂蛋白胆固醇、血红蛋白(P<0.05)及消瘦、纳差、乏力、黄疸、胆固醇、血沉(P<0.01)。结论:糖尿病合并胰腺癌具有临床早期危险信号,重视它们有助于胰腺癌的早期诊断。Objective：To study the clinical early danger signals of diabetes mellitus complicated by pancreatio carcinoma（DMPC） and to improve the diagnosis of the early pancreatic carcinoma.Methods：The case-control study of epidemiology was taken.There were 36 cases with DMPC in the case group.There were 40 cases with simple type 2 diabetes mellitus in the control group.24 kinds of factors were tested.Results：There were 16 in all studied factors（16/24） with statistical significance：smoke,drink liquor,Higher-fat diet,cholelithiasis,upper abdominal pain,lumbodorsalgia,glycohemoglobin,triglyceride（TG）,high-density lipoprotein holesterol（HDL-C）,hemoglobin（Hb）（P〈0.05）,ematiation,poor appetite,fatigue,jaundice,total holesterol（TC）,erythrocyte sedimentation rate（ESR）（P〈0.01）.Conclusion：The patients of DMPC have distinct clinical early danger signals compared with those of simple type 2 diabetes mellitus.It is possible to improve the diagnosis of the early pancreatic carcinoma by these signals.

关 键 词：糖尿病 胰腺癌 糖尿病合并胰腺癌 临床早期危险信号 早期诊断 

分 类 号：R587[医药卫生—内分泌]