丁秀荣 郑威 刘井艳 张卓

[摘要] 目的 分析乳腺癌化疗诱发糖尿病的风险因素，并探讨乳腺癌化疗诱发糖尿病的患者的护理措施。方法 对2015年1—12月之间在该院进行化疗的217例乳腺癌患者进行回顾性分析，统计患者的化疗后并发乳腺癌的几率，分析乳腺癌患者化疗后并发糖尿病的风险因素并探讨其护理措施。结果 217例研究对象化疗后有血糖升高症状的患者113例，确诊为糖尿病的患者有31例，其中有19例具有糖尿病家族史，23例由于化疗反应较饮食不规律。结论 乳腺癌化疗可导致患者的血糖升高，其中糖尿病家族史、化疗反应等可增加乳腺癌患者化疗后并发糖尿病的风险。

[关键词] 乳腺癌；化疗；糖尿病

[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2016）03（a）-0165-02

Breast Cancer Chemotherapy Induced Diabetes Risk Factors and Nursing Measures

DING Xiu-rong，ZHENG Wei，LIU Jing-yan，ZHANG Zhuo

Tumor Hospital of Jilin Province，Changchun，Jilin Province， 130012 China

[Abstract] Objective Analyze risk factors for breast cancer chemotherapy induced diabetes， and breast cancer patients with chemotherapy induced diabetes care measures. Methods 2015 January to December， in our hospital between chemotherapy of 217 cases of breast cancer patients were retrospectively analyzed， statistics patients complicated with breast cancer after chemotherapy， analysis of risk factors for breast cancer patients complicated with diabetes after chemotherapy and its nursing measures. Results 217 cases of study object after chemotherapy， 113 patients with symptoms of high blood， 31 cases of patients diagnosed with diabetes， including 19 cases with a family history of diabetes， 23 cases with chemotherapy response is eating disorders. Conclusion For patients with breast cancer chemotherapy can lead to elevated blood sugar， including family history of diabetes， chemotherapy reaction after chemotherapy can improve the breast cancer patients complicated with diabetes risk.

[Key words] Breast cancer；Chemotherapy；Diabetes

乳腺癌是女性常见的恶性肿瘤之一，近年来，其发病率有逐年升高的趋势，尽管乳腺癌的发病率较高，但是早期诊断并采用手术治疗后辅以化学治疗，患者的10年存活率较高。随着人们对女性的关爱以及乳腺癌的发病率的增加，乳腺癌高危年龄段女性对自身乳腺健康的关注度也随之增加，大多数乳腺癌患者能够在疾病的早期进行诊断并治疗，使患者的生活质量以及存活率均有所增加[1]。术后辅以化学治疗是避免乳腺癌复发或转移的有效措施，化学疗法是使用化学药物干扰患者肿瘤细胞的增值与生长，进而延缓或阻遏肿瘤的发展，但是，化学药物在对患者的肿瘤细胞的增值与生长进行干扰……