首页|恒格列净联合二甲双胍治疗肥胖型2型糖尿病的疗效观察

恒格列净联合二甲双胍治疗肥胖型2型糖尿病的疗效观察

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目的 探讨恒格列净联合二甲双胍治疗肥胖型 2 型糖尿病的疗效观察.方法 选取接受治疗的肥胖型T2DM患者98 例,采用随机数字表法分为观察组 49例和对照组 49 例,对照组采用二甲双胍+利拉鲁肽治疗,观察组采用二甲双胍+利拉鲁肽+恒格列净治疗.治疗 3 个月后,比较两组的空腹血糖、餐后 2h血糖、糖化血红蛋白(HbA1c)、葡萄糖目标范围内时间(TIR)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、体脂肪率、肝脏脂肪衰减指数、N末端脑钠肽原(NT-proBNP)、肾小球滤过率(eGFR)及不良反应.结果 治疗后,观察组和对照组的空腹血糖分别为(7.01±1.21)mmol/L、(7.53±1.13)mmol/L,餐后 2 h血糖分别为(8.34±1.16)mmol/L、(8.92±1.31)mmol/L,HbA1c分别为(6.85±1.15)%、(7.41±1.09)%,TIRc分别为(85.03±6.18)%、(82.27±6.52)%,TC分别为(5.26±0.85)mmol/L、(5.79±0.83)mmol/L,TG分别为(1.81±0.32)mmol/L、(1.95±0.35)mmol/L,LDL-C分别为(2.37±0.39)mmol/L、(2.61±0.54)mmol/L,体脂肪率分别为(32.31±6.07)mmol/L、(35.05±7.21)mmol/L,肝脏脂肪衰减指数分别为(282.51±29.04)kpa、(294.37±28.19)kpa,NT-proBNP分别为(316.42±38.19)pg/mL、(408.35±41.67)pg/mL,差异有统计学意义(P<0.05).治疗后,两组eGFReGFR分别为(98.37±5.19)min·1.73m2、(97.61±5.83)min·1.73 m2,差异无统计学意义(P>0.05).治疗后,两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 恒格列净联合二甲双胍治疗肥胖型T2DM,有助于降低患者的血糖水平,控制血糖波动,调节血脂水平,改善心功能,疗效及安全性良好.
Effect of Henagliflozin Proline Combined with Metformin on Obese Type 2 Diabetes
Objective To investigate the therapeutic effect of Henagliflozin Proline combined with metformin on obese type 2 diabetes.Methods A total of 98 obese patients with type 2 diabetes mellitus(T2DM)undergoing treatment at the hospital were systematically randomized into two groups:an observation group of 49 individuals and a control group of 49 individuals,with the allocation executed using a random number table method.The control group was treated with metformin+liraglutide,while the observation group was treated with metformin+liraglutide+Henagliflozin Proline.After 3 months of treatment,the fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin(HbA1c),time within target range of glucose(TIR),total cholesterol(TC),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),body fat percentage,liver fat attenuation index,N-terminal pro brain natriuretic peptide(NT proBNP),glomerular filtration rate(eGFR),and adverse reactions were compared between the two groups.Results After treatment,the fasting blood glucose levels of the observation group and the control group were(7.01±1.21)mmol/L and(7.53±1.13)mmol/L,respectively.The postprandial 2-hour blood glucose levels were(8.34±1.16)mmol/L and(8.92±1.31)mmol/L,respectively.HbA1c levels were(6.85±1.15)%and(7.41±1.09)%,TIRc levels were(85.03±6.18)%and(82.27±6.52)%,TC levels were(5.26±0.85)mmol/L and(5.79±0.83)mmol/L,TG levels were(1.81±0.32)mmol/L and(1.95±0.35)mmol/L,respectively,and LDL-C levels were(2.37±0.35)mmol/L,respectively.0.39)mmol/L and(2.61±0.54)mmol/L,body fat percentage were(32.31±6.07)mmol/L and(35.05±7.21)mmol/L,liver fat attenuation index were(282.51±29.04)kPa and(294.37±28.19)kPa,and NT proBNP were(316.42±38.19)pg/mL and(408.35±41.67)pg/mL,respectively,with statistically significant differences(P<0.05).After treatment,the eGFReGFR of the two groups were(98.37±5.19)min·1.73m2 and(97.61±5.83)min·1.73m2,respectively,with no statistically significant difference(P>0.05).After treatment,there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Henagliflozin Proline combined with metformin in the treatment of obese T2DM can help reduce blood glucose levels,control blood glucose fluctuations,regulate blood lipid levels,improve cardiac function,and has good efficacy and safety.

Type 2 diabetesObesityMetforminHenagliflozin Proline

刘金平、苏优良

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济南市中西医结合医院内分泌科,山东 济南 271199

2型糖尿病 肥胖 二甲双胍 恒格列净

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(6)