首页|阿卡波糖联合预混胰岛素治疗2型糖尿病的临床效果观察

阿卡波糖联合预混胰岛素治疗2型糖尿病的临床效果观察

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目的 探讨阿卡波糖联合预混胰岛素在2 型糖尿病患者中的治疗效果.方法 选取 2022 年 12 月—2023年9 月牡丹江医学院附属红旗医院收治的 92 例 2 型糖尿病患者为研究对象,按随机数字表法将其分为对照组和观察组,各46例.对照组采用阿卡波糖治疗,观察组在对照组基础上加用预混胰岛素治疗.对比两组临床疗效、血糖指标、胰岛功能及不良反应发生率.结果 观察组治疗总有效率 95.65%高于对照组的 80.43%,差异有统计学意义(P<0.05).治疗后,观察组空腹血糖(6.87±1.21)mmol/L、餐后 2h血糖(8.05±1.86)mmol/L、糖化血红蛋白(6.04±0.67)%、胰岛素抵抗指数(1.12±0.23),均低于对照组的(7.95±1.02)mmol/L、(9.79±1.43)mmol/L、(7.31±0.92)%、(1.65±0.34),胰岛β细胞功能指数(45.20±5.94),高于对照组的(38.45±5.02),组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 阿卡波糖联合预混胰岛素治疗2型糖尿病,可提高临床疗效改善血糖指标,促进胰岛功能恢复正常,且安全性高.
Clinical Effect of Acarbose Combined with Premixed Insulin on Type 2 Diabetes
Objective To investigate the therapeutic effect of acarbose combined with premixed insulin in patients with type 2 diabetes.Methods A total of 92 patients with type 2 diabetes admitted to the Hongqi Hospital affiliated to Mudanjiang Medical College from December 2022 to September 2023 were selected as the research objects and divided into a control group and an observation group according to the random number table,with 46 cases in each group.The control group was treated with acarbose,while the observation group was treated with premixed insulin.Compare the clinical efficacy,blood glucose indicators,islet function,and incidence of adverse reactions between two groups.Results The total effective rate of the observation group was 95.65%,which was higher than the control group's 80.43%,and the difference was statistically significant(P<0.05).After treatment,the fasting blood glucose(6.87±1.21)mmol/L,2-hour postprandial blood glucose(8.05±1.86)mmol/L,glycated hemoglobin(6.04±0.67)%,and insulin resistance index(1.12±0.23)in the observation group were all lower than(7.95±1.02)mmol/L,(9.79±1.43)mmol/L,(7.31±0.92)%,and(1.65±0.34)in the control group,and the pancreatic beta cell function index(45.20±5.94)was higher than(38.45±5.02)in the control group,and the differences between the groups were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Acarbose combined with premixed insulin can treat type 2 diabetes and improve clinical efficacy,improve blood glucose indicators,and promote the recovery of islet function,with high safety.

Type 2 diabetesAcarbosePremixed insulinClinical efficacyBlood glucose indicatorsIslet function

孙悦、陈传志

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牡丹江医学院附属红旗医院内分泌科,黑龙江牡丹江 157000

牡丹江医学院附属红旗医院党政综合办公室,黑龙江牡丹江 157000

2 型糖尿病 阿卡波糖 预混胰岛素 临床疗效 血糖指标 胰岛功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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