非霍奇金淋巴瘤合并糖尿病患者的治疗体会

 目的 探讨非霍奇金淋巴瘤合并糖尿病患者的激素使用问题。方法 对40例合并糖尿病的非霍奇金淋巴瘤患者用含泼尼松（PDN）的方案进行化疗，比较使用PDN前后的血糖变化，调整降糖药物，同时观察并发症。结果 患者入院时空腹血糖（6.1±1.3）mmol／L，化疗后血糖（6.5±1.2）mmol／L，化疗前后血糖比较差异无统计学意义；化疗过程中降糖药用量略增加；所有患者无并发症发生。结论 在有效控制血糖的情况下，非霍奇金淋巴瘤合并糖尿病的患者可常规使用PDN。

Therapy experience in NHL patients with diabetics

Objective Discuss therapy problems in NHL patients with diabetics. Methods 40 NHL patients with diabetics are treated with chemotherapy containing prednisone. Compare the blood sugar before using prednisone with the one after that, regulate medicines of reducing glucose and at the same time observe the syndromes. Results Limosis blood sugar of patients just in hospital is 6.1±1.3 mmol/L, and after chemother－apy it becomes 6.5±1.2 mmol/L. There is no significant difference between them. Conclusions On the basis of controlling blood sugar effectively, patients with NHL combining diabetics can use prednisone as normal.