支气管肺癌首发糖尿病的病因探讨与疗效观察

Exploration of the Etiology and Observation of the Curative Effects of Bronchopulmonary Carcinoma First Accompanied by Diabetes

本文通过对１３例支气管肺癌（肺癌）首发糖尿病的临床指征分析发现，该病发生以男性为多，糖尿病发病平均年龄为５０．７岁，Ⅱ型糖尿病患者占９２．３％；肺癌发病平均年龄为５９．５岁，周围型多见，一经诊断即为中晚期。此特点与单纯性肺癌相似，但临床症状较轻，经中西医结合治疗也易控制和缓解，平均生存期２１．７５个月。与单纯性肺癌相比，其疗效更为乐观，这可能与此组患者血糖控制满意，免疫功能、生存质量较好且在治疗中以中药扶正培本为主，祛邪解毒为辅，肺癌及糖尿病兼治并配合小剂量化疗等因素相关。

The results from the analysis of clinical syndromes and loboratory tests of 13 cases of bronchopulmonary cancer first accompanied by diabetes indicate that the male is dominent inthe disease. The average attack age of diabetes is 50.7 years old,patients with diabetes typeⅡ reaches 92. 3%;the average attack age of lung cancer is 59. 5 years old,most patients areof peripheral type. The cases are most in their middle or advanced stage once the diagnosis ismade,the specificity is similar to that of the simple lung cancer,but clinical syndromes aremilder and easily controlled and remitted after being treated by the combination of the traditional chinese and western medicine,the average survival duration is 21. 75 months. Its curative effect is more optimistic,as compared with that of the simple lung cancer, the reasonsmay be due to the satisfectory controlled blood sugar of the patients,better immune responseand quality of life and what is more, Using Traditional Chinese Medicine to support thehealthy energy and strengthen the body principally,to detoxicate and expel evil adjuvantly,the combined treatment of both diseases watched with a small amount of chemotherapy.