首页|司美格鲁肽联合德谷胰岛素治疗超重或肥胖2型糖尿病的临床有效性评估分析

司美格鲁肽联合德谷胰岛素治疗超重或肥胖2型糖尿病的临床有效性评估分析

扫码查看
目的 探究超重或肥胖2型糖尿病患者以司美格鲁肽和德谷胰岛素联合用药的效果.方法 随机选取2022年6月—2023年10月扬州大学附属靖江人民医院收治的80例超重或肥胖2型糖尿病患者为研究对象.根据随机数表法分为两组,每组40例.对照组采用德谷胰岛素+二甲双胍治疗,观察组采用德谷胰岛素+二甲双胍+司美格鲁肽治疗.比较两组临床疗效、血糖指标、胰岛功能与体质指数、不良反应发生情况.结果 观察组治疗总有效率为 97.50%,高于对照组的 80.00%,差异有统计学意义(χ2=6.134,P=0.013).治疗前,两组血糖指标、胰岛功能指标、体质指数对比,差异无统计学意义(P均>0.05).治疗后,观察组均优于对照组,差异有统计学意义(P均<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 对于超重或者肥胖的2型糖尿病患者,在二甲双胍基础上采取司美格鲁肽和德谷胰岛素的联合用药方案效果显著,可促进胰岛功能改善,降低血糖指标水平与体质指数,用药安全性高.
Evaluation of Clinical Effectiveness of Semaglutide Combined with Insulin Degludec in the Treatment of Overweight or Obese Type 2 Diabetes Mellitus
Objective To investigate the effectiveness of overweight or obese type 2 diabetes mellitus patients treated with a combination of semaglutide and insulin degludec.Methods 80 patients of overweight or obese type 2 diabetes mellitus admitted to Jingjiang People's Hospital Affiliated to Yangzhou University from June 2022 to October 2023 were randomly selected as the study objects.According to random number table method,they were divided into two groups with 40 cases in each group.The control group was treated with insulin degludec+metformin,and the observa-tion group was treated with insulin degludec+metformin+semaglutide.Clinical efficacy,glycemic indexes,islet func-tion and body mass index(BMI),and adverse reactions were compared.Results The total effective rate of treatment in the observation group was 97.50%,higher than 80.00% in the control group,the difference was statistically signifi-cant(χ2=6.134,P=0.013).There was no statistically significant difference in blood glucose index,islet function in-dex,and BMI of the two groups before treatment(all P>0.05).After treatment,those in the observation group were better than those in the control group,the differences were statistically significant(all P<0.05).There was no statisti-cally significant difference in adverse reactions between the two groups(P>0.05).Conclusion For overweight or obese patients with type 2 diabetes mellitus,a combination drug regimen of semaglutide and insulin degludec can be taken on the basis of metformin to promote the improvement of pancreatic islet function and reduce the level of blood glucose indexes and BMI,and the combination of drugs is safe.

Overweight or obese type 2 diabetes mellitusSemaglutideInsulin degludecBlood glucose indexPancreatic islet function

薛敏、刘丹、恽瑞元

展开 >

扬州大学附属靖江人民医院,江苏靖江 214500

超重或肥胖2型糖尿病 司美格鲁肽 德谷胰岛素 血糖指标 胰岛功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(14)
  • 11