世界睡眠医学杂志2024,Vol.11Issue(4) :735-738.DOI:10.3969/j.issn.2095-7130.2024.04.006

二甲双胍联合甘精胰岛素治疗2型糖尿病伴睡眠障碍患者的临床疗效

Clinical Efficacy of Metformin Combined with Insulin Glargine in the Treatment of Type 2 Diabetes Mellitus with Sleep Disorders

伊军
世界睡眠医学杂志2024,Vol.11Issue(4) :735-738.DOI:10.3969/j.issn.2095-7130.2024.04.006

二甲双胍联合甘精胰岛素治疗2型糖尿病伴睡眠障碍患者的临床疗效

Clinical Efficacy of Metformin Combined with Insulin Glargine in the Treatment of Type 2 Diabetes Mellitus with Sleep Disorders

伊军1
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作者信息

  • 1. 肥城市人民医院药剂科,肥城,271600
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摘要

目的:结合2型糖尿病伴睡眠障碍患者的相关治疗要点及常规方式,讨论二甲双胍联合甘精胰岛素的可用性.方法:选取2022年2月至2023年7月肥城市人民医院收治的2型糖尿病伴睡眠障碍患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例.对照组治疗措施为二甲双胍,观察组为二甲双胍联合甘精胰岛素,比较2组患者生命质量、糖代谢指标、睡眠质量、并发症情况.结果:观察组经治疗后患者生活状态、质量的恢复程度及相关生活指标评分监测中的改善均值,均高于对照组,组内统计差异有统计学意义(P<0.05);观察组经治疗后各项血糖指标改善趋向及糖代谢监测前后的水平差值,可见比对照组高,差异有统计学意义(P<0.05);观察组经治疗后对睡眠情况的阶段性质量监测均值及交流中的精神表现力,可见比对照组高,差异有统计学意义(P<0.05);观察组经治疗后对低血糖、视物不清、眼内炎、神经过敏反应等并发症的跟进式预防作用及安全性评估均值,可见比对照组高,且统计价值被证实,差异有统计学意义(P<0.05).结论:联合治疗(二甲双胍联合甘精胰岛素)对于糖代谢及血糖指标等能够起到一定稳定和改善作用,科学调节患者的睡眠质量,改善生命质量.

Abstract

Objective:To discuss the availability of metformin in combination with insulin glargine in combination with relevant treatment sites and routine methods in type 2 diabetes patients with sleep disorders.Methods:From February 2022 to July 202380 type 2 diabetes mellitus patients with sleep disturbance in internal medicine were selected as subjects in the study,randomly divided into control and study groups using a simple randomization method,with 40 cases per group.The control group was treated with metformin and the study group was treated with metformin in combination with insulin glargine.Quality of life,metabolic glu-cose index,sleep quality,and complications of the two groups were compared.Results:after treatment,the degree of recovery of the patient's standard of living and quality of life in the study group and the improvement of the mean monitoring of their life rate were higher than in the control group,and the statistical difference was significant(P<0.05).After treatment,the tendency for various blood glucose indices to improve and the difference in glucose metabolism before and after monitoring in the study group was greater than in the control group,and the statistical value was confirmed(P<0.05).After treatment,the mean value of moni-toring the quality of sleep and mental expression in communication in the study group was higher than in the control group,and the statistical value was confirmed(P<0.05).After treatment,the mean of the preventive follow-up effects and the safety assessment of the study group was greater than that of the control group for complications such as hypoglycemia,visual impairment,endoph-thalmitis,and anaphylaxis,and the statistical value was confirmed(P<0.05).Conclusion:End-of-t combination therapy(met-formin in combination with insulin glargine)may stabilize and improve glucose metabolism and blood sugar indices,regulate pa-tients'sleep quality scientifically,and improve their quality of life.

关键词

二甲双胍/甘精胰岛素/2型糖尿病/睡眠障碍/睡眠质量/生命质量/糖代谢指标/并发症

Key words

Metformin/Insulin glargine/Type 2 diabetes/Sleep disorders/Sleep quality/Quality of life/Glucose metabolism index/Complication

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基金项目

山东省医药卫生科技发展计划(2022KJ423)

出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量16
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