肺癌伴糖尿病患者放射性肺炎发生率临床分析

Clinical Analysis of Incidence Rate of Radiation Pneumonitis of Patients with Lung Cancer and Diabetes

目的探讨在接受放射治疗后肺癌伴糖尿病患者发生放射性肺炎的几率,分析其致病原因。方法将2013年3月—2016年3月期间该院收治的32例肺癌伴糖尿病患者纳入该次实验作为糖尿病组,并将同期32例无糖尿病肺癌患者纳入该次实验作为非糖尿病组,对参与研究的肺癌患者均实施三维适形放射治疗,通过为期1年的随访调查,对比两组患者的放射性肺炎发生情况。结果糖尿病组肺癌患者的放射性肺炎发生率与非糖尿病组相比,二者之间对比结果显示差异有统计学意义(P<0.05)。结论相较于非糖尿病肺癌患者,肺癌伴糖尿病患者发生放射性肺炎的危险性明显更高。

Objective To study the probability and causes of incidence rate of radiation pneumonitis of patients with？lung cancer and diabetes. Methods 32 cases of patients with lung cancer and diabetes admitted and treated in our hospital from March 2013 to March 2016 were selected as the diabetes group, while 32 cases of patients without diabetes and lung cancer at the same period were selected as the non-diabetes group, and all lung cancer patients were treated with the three dimensional conformal radiotherapy, and the occurrence of radiation pneumonitis of the two groups was compared between the two groups after 1-year follow-up. Results The difference in the incidence rate of radiation pneumonitis between the diabetes group and non-diabetes group was obvious, with statistical significance（P〈0.05）. Conclusion The occurrence probability of radiation pneumonitis of patients with lung cancer with diabetes is obviously higher than that of patients without diabetes and lung cancer.