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1983─1993年6月收治肢端肥大症28例中,糖耐量异常(IGT)5例占18.5%,糖尿病11例占39.28%,采用溴隐亭治疗5例IGT恢复正常,3例无临床症状,FBS8.8~15mmol/L治疗一月后FBS降至正常。4例有临床症状FBS15~16mmol/L,仅用溴隐亭7.5~15mg/日治疗,FBS除1例外均正常。4例FBS12.046~49.237mmol/L,尿糖++~+++,采用饮食控制并加用胰岛素24~96u/日,3例再加服优降糖2.5~7.5mg/日,疗效不佳,加用溴隐亭后获得较明显效果。认为肢端肥大症继发糖尿病,采用治疗Ⅰ型、Ⅱ型糖尿病的方法,均不能获得满意疗效,即使放疗后或手术加放疗后均一样,应首选溴隐亭治疗。
Among the 28 cases of acromegaly admitted from 1983 to June 1993, IGT was found in 5 cases (18.5%) and diabetes mellitus (11 cases) in 39.28% cases. Five cases of bromocriptine treatment returned to normal, 3 Cases without clinical symptoms, FBS8.8 ~ 15mmol / L treatment of January after the FBS dropped to normal. 4 cases of clinical symptoms FBS15 ~ 16mmol / L, only bromocriptine 7.5 ~ 15mg / day treatment, FBS except 1 case were normal. 4 cases of FBS12.046 ~ 49.237mmol / L, urine sugar ++ ~ +++, using diet control plus insulin 24 ~ 96u / day, 3 cases plus plus hypoglycemic 2.5 ~ 7.5mg / day, efficacy Poor, plus bromocriptine after more obvious results. Acromegaly secondary diabetes that the use of treatment of type â ... ¡, type â ... ¡diabetes, are not able to obtain satisfactory results, even after radiotherapy or surgery plus radiotherapy are the same, should be the preferred bromocriptine treatment.