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目的:通过研究恶性肿瘤化疗过程中如何控制糖尿病患者的血糖及预防继发性糖尿病,探讨恶性肿瘤合并糖尿病的机制。方法:归纳总结24例恶性肿瘤合并糖尿病患者的病历资料,结合相关文献进行分析。结果:24例患者中,化疗后有15例血糖升高,其中5例化疗前无糖尿病史。结论:恶性肿瘤患者化疗有可能加重、诱发糖尿病。恶性肿瘤合并糖尿病的机制较为复杂,积极控制血糖,能保障化疗的顺利进行,提高患者的生活质量。
OBJECTIVE: To investigate how to control the blood sugar of diabetic patients and prevent secondary diabetes during the chemotherapy of malignant tumors to explore the mechanism of malignant tumor complicated with diabetes. Methods: The clinical data of 24 patients with malignant tumor complicated with diabetes were summarized and analyzed with related literatures. Results: Of the 24 patients, 15 had hyperglycemia after chemotherapy and 5 had no history of diabetes before chemotherapy. Conclusion: Chemotherapy in patients with malignant tumor may aggravate and induce diabetes. Malignancy associated with diabetes is more complicated mechanism, and actively control blood sugar, can protect the smooth progress of chemotherapy, improve patient quality of life.