%0 Journal Article %T 2型糖尿病和血小板计数在原发性肝癌患者中的关系研究 %A 张伟硕 %A 房龙 %A 高春 %J 肿瘤防治研究 %D 2016 %R 10.3971/j.issn.1000-8578.2016.05.011 %X 摘要 目的 探讨2型糖尿病和血小板计数在原发性肝癌患者中的关系。方法 采用横断面研究,按照诊断标准、纳入和排除标准,研究纳入2003年1月至2012年4月在中日友好医院住院且以“原发性肝癌”作为主要诊断的患者375例。分析入选患者的人口统计学、临床、生化、代谢等资料,二元非条件Logistic回归分析研究2型糖尿病和血小板计数在原发性肝癌患者中的关系。结果 375例患者中,63例(16.8%)合并2型糖尿病,患者的平均白细胞计数(4.13±2.49)×109/L,血红蛋白定量(132.5±23.8)g/L,血小板计数的中位数和四分位数间距130/(85~189)×109/L,国际标准化比值(1.20±0.27)。两组比较的结果提示,血小板计数[113/(64~157)×109/L vs. 139/(89~192)×109/L, P=0.020]在两组人群中差异存在统计学意义。多因素分析的结果显示,在控制年龄、乙肝感染、血红蛋白定量和INR等情况下,血小板计数不是原发性肝癌合并2型糖尿病患者的独立相关因素,OR值为0.999,95%CI: 0.995~1.003(P=0.505)。结论 原发性肝癌合并2型糖尿病患者的血小板计数明显低于肝癌不合并糖尿病患者,Logistic回归分析归因于其他因素的作用 %K A Case Report %K Emergency Transcatheter Arterial Embolization Combined with Two-stage Liver Resection for Spontaneous Ruptured Hepatocellular Carcinoma: A Systematic Review %K Microwave Ablation Combined with Stereotactic Radiotherapy for Primary and Recurrent Hepatocellular Carcinoma after Interventional Treatment %K Meta-analysis on Relationship between runx3 Gene and Hepatocellular Carcinoma %K Clinical Effects of Yanshu on Primary Hepatic Carcinoma Treated with Interventional Therapy %K Correlation of MMP-9 and MMP-2 Gene SNPs with Hepatocellular Carcinoma Invasion and Metastasis %K Prevention and Treatment of Complications after Argon-helium Cryoablation on Primary Hepatocarcinoma %K Percutaneous Microwave Coagultion Therapy Influence on Hepatofibrosis of Primary Hepatocellular Carcinoma Serum %K Survival Analysis of 108 Cases with Advanced Primary Liver Cancer Treated by Transcatheter Arterial Chemoembolization %K Comparative Analysis of Aetiology Clustering of Hepatocellular Carcinoma between Two Families with High Mortality of Hepatocellular Carcinoma Discovered Recently in Guangxi Region %K Role of Antiviral Therapy Using Lamivudin in Treatment of Primary Liver Cancer Complicated by Hepatitis B Virus %K Analysis of Virological Characteristics on HBeAg Positive Primary Hepatic Carcinoma %K Association between Diabetes Mellitus and Hepatocellular Carcinoma: A Meta- analysis of Cohort Study %U http://www.zlfzyj.com/CN/abstract/abstract8749.shtml