CAJ | 학술논문

目的：探讨消化系统恶性肿瘤与糖尿病之间的关系。方法对我院2012年1月—2013年4月确诊的20例胰腺癌、51例肝癌、42例胃癌和63例结直肠癌患者2型糖尿病患病率以及各项指标数据进行统计，并随机抽查同期本地某社区年龄、性别等条件相似的180例普通居民作为对照组，收集数据并进行统计分析。结果消化系统恶性肿瘤患者糖尿病患病率为对照组的2.6倍；各种消化系统恶性肿瘤患者的糖尿病患病率按高低分别为：胰腺癌患者组6例（30.0%），肝癌患者组11例（19.6%），胃癌患者组6例（16.7%），结直肠癌患者组10例（15.9%），除了胃癌患者，其余各种恶性消化系统肿瘤糖尿病的患病率均高于对照组（P<0.05）。在消化系统恶性肿瘤患者中，合并糖尿病患者的FPG、HbA1C、CA199较未合并糖尿病患者偏高（P<0.05）。结论糖尿病与恶性消化系统肿瘤的发病存在相关性。
목적：탐토소화계통악성종류여당뇨병지간적관계。방법대아원2012년1월—2013년4월학진적20례이선암、51례간암、42례위암화63례결직장암환자2형당뇨병환병솔이급각항지표수거진행통계，병수궤추사동기본지모사구년령、성별등조건상사적180례보통거민작위대조조，수집수거병진행통계분석。결과소화계통악성종류환자당뇨병환병솔위대조조적2.6배；각충소화계통악성종류환자적당뇨병환병솔안고저분별위：이선암환자조6례（30.0%），간암환자조11례（19.6%），위암환자조6례（16.7%），결직장암환자조10례（15.9%），제료위암환자，기여각충악성소화계통종류당뇨병적환병솔균고우대조조（P<0.05）。재소화계통악성종류환자중，합병당뇨병환자적FPG、HbA1C、CA199교미합병당뇨병환자편고（P<0.05）。결론당뇨병여악성소화계통종류적발병존재상관성。
Objective To explore the relationship between digestive system malignant tumor and T2DM. Methods Statistic the incidence of T2DM and their clinical test results among 20 cases of pancreatic cancer, 51 cases of liver cancer, 42 cases of gastric cancer and 63 cases of colorectal cancer patients, from which were diagnosed in our hospital between January 2012 and April 2013. 180 cases of ordinary residents in the same place and of similar age, gender were collected in randomly as the control group, then collecting and analysing the data. Results The incidence of T2DM in patients with common digestive system malignancy is 2.6 times as comparison group's. The T2DM incidence in each kind of digestive system malignancy from high to low just as follows, 6 cases in pancreatic cancer patients (30.0%);11 cases in liver cancer patients(19.6%);6 cases in stomach cancer patients(16.7%);10 cases in colorectal cancer patients(15.9%),all of them are higher than control group (P<0.05)except the stomach cancer group;The data of FPG,HbA1C,CA199 of the Patients with T2DM are higher than those who don't(P<0.05). Conclusions T2DM are associated with increased risk of various digestive system malignancies.