首页|达格列净治疗糖尿病合并冠心病老年患者的效果及对心功能的影响

达格列净治疗糖尿病合并冠心病老年患者的效果及对心功能的影响

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目的 探讨达格列净治疗糖尿病合并冠心病老年患者的效果及对心功能的影响。方法 选取2021年7月至2022年12月抚州市第一人民医院收治的80例糖尿病合并冠心病老年患者作为研究对象,按照随机数字表法分为观察组(40例)与对照组(40例),观察组采用达格列净治疗,对照组采用二甲双胍治疗。比较两组的治疗总有效率、氨基末端pro脑钠肽(NT-proBNP)、超敏C反应蛋白(hs-CRP)、心功能水平。结果 观察组治疗后总有效率高于对照组,差异有统计学意义(P<0。05);观察组治疗后NT-proBNP水平低于对照组,差异有统计学意义(P<0。05);观察组治疗后hs-CRP水平低于对照组,差异有统计学意义(P<0。05);观察组治疗后左室舒张末期内径(LVEDD)低于对照组,观察组治疗后左室射血分数(LVEF)、舒张早期和舒张晚期二尖瓣口最大血流速度之比(E/A)、6 min步行距离高于对照组,差异有统计学意义(P<0。05)。结论 达格列净治疗投入临床糖尿病合并冠心病老年患者治疗中,所得干预的评估结果更好。在实施治疗之后,患者的症状得到较好的改善,且NT-proBNP、hs-CRP指数减少,患者心功能水平得到一定的改善,值得被临床应用推广。
Effect of Daglipzin on elderly patients with diabetes mellitus complicated with coronary heart disease and cardiac function
Objective To investigate the effect of Daglipzin on elderly patients with diabetes mellitus complicated with coronary heart disease and cardiac function.Methods A total of 80 elderly patients with diabetes mellitus combined with coronary heart disease admitted to First People's Hospital Fuzhou from July 2021 to December 2022 were selected as the study objects,and they were divided into observation group(40 cases)and control group(40 cases)according to random number table method.The observation group was treated with Dagliaglozin,and the control group was treated with Met-formin.The total effective rate,N-Terminal pro-brain natriuretic peptide(NT-proBNP),hypersensitive C-reactive protein(hs-CRP)and cardiac function of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The level of NT-proBNP in the observation group was lower than that in the control group after treatment,and the difference was statistically signifi-cant(P<0.05).The level of hs-CRP in observation group was lower than that in control group after treatment,and the dif-ference was statistically significant(P<0.05).The left ventricular end-diastolic diameter(LVEDD)in the observation group was lower than that in the control group after treatment,and the left ventricular ejection fraction(LVEF),the diastolic early and late diastolic mitral valve opening ratio of the maximum blood flow velocity(E/A),the 6-minute walking distance in the observation group were higher than those in the control group,with statistical significances(P<0.05).Conclusion Da-pagliflozin in the treatment of elderly patients with clinical diabetes mellitus and coronary heart disease,the evaluation re-sults of the intervention are better.After the implementation of treatment,the symptoms of the patient were improved,and the level of NT-proBNP and hs-CRP are reduced,the cardiac function level of the patient are improved to a certain extent,which is worthy of clinical application and promotion.

DapagliflozinDiabetes mellitus complicated with coronary heart diseaseElderly patientsCardiac function

王智勇、饶盛环、叶文成

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江西省抚州市第一人民医院老年医学科,江西抚州 344000

达格列净 糖尿病合并冠心病 老年患者 心功能

江西省卫生健康委科技计划项目

202212868

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(8)
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