CAJ | 학술논문

目的：探讨慢性胰腺炎与糖尿病临床中存在的风险因素。方法对2010年5月～2012年5月我院收治的224例慢性胰腺炎患者进行回顾性分析与随访，并于2014年7月随访完毕。使用 Cox 比例风险模型对临床中存在的风险因素进行回归分析，包括患者的性别、年龄、是否吸烟饮酒、发病的病因、胰腺肿块和钙化情况、治疗方案等。结果风险比例模型的分析结果显示，患者的吸烟量每年＞200支、出现轻度腹部疼痛、胰腺钙化以及体重下降是慢性胰腺炎与糖尿病的临床风险因素，其风险比分别是3.3、5.2、2.2以及2.6。结论吸烟量每年＞200支、出现轻度腹部疼痛、胰腺钙化以及体重下降的慢性胰腺炎患者在临床中需要关注，可能会伴发糖尿病。
목적：탐토만성이선염여당뇨병림상중존재적풍험인소。방법대2010년5월～2012년5월아원수치적224례만성이선염환자진행회고성분석여수방，병우2014년7월수방완필。사용 Cox 비례풍험모형대림상중존재적풍험인소진행회귀분석，포괄환자적성별、년령、시부흡연음주、발병적병인、이선종괴화개화정황、치료방안등。결과풍험비례모형적분석결과현시，환자적흡연량매년＞200지、출현경도복부동통、이선개화이급체중하강시만성이선염여당뇨병적림상풍험인소，기풍험비분별시3.3、5.2、2.2이급2.6。결론흡연량매년＞200지、출현경도복부동통、이선개화이급체중하강적만성이선염환자재림상중수요관주，가능회반발당뇨병。
Objective To investigate the chronic pancreatitis with risk factors for diabetes in clinical. Methods In May 2010 ~ May 2012 in our hospital 224 cases of patients with chronic pancreatitis were retrospectively analyzed, with fol ow-up and fol ow-up in July 2014. Using Cox proportional hazards model for clinical risk factors existing in the regression analysis, including the patient's gender, age, smoking, drinking, the cause of disease, pancreatic mass and calcification, treatments, etc. Results The proportion model of risk analysis, according to the results of smoking in patients with > 200 cigarettes every year, a mild abdominal pain, pancreatic calcification, and weight loss is chronic pancreatitis with clinical risk factors of diabetes, the risk score is 3.3, 5.2, 2.2 and 2.6. Conclusion Smoking > 200 cigarettes every year, a mild abdominal pain, pancreatic calcification, and weight loss in clinical need to focus on patients with chronic pancreatitis, may be associated with diabetes mel itus.