世界睡眠医学杂志2024,Vol.11Issue(9) :1954-1956.DOI:10.3969/j.issn.2095-7130.2024.09.010

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疗效研究

Efficacy of Metformin Combined with Insulin Glargine on Type 2 Diabetes Patients with Sleep Disorders

房丛丛
世界睡眠医学杂志2024,Vol.11Issue(9) :1954-1956.DOI:10.3969/j.issn.2095-7130.2024.09.010

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疗效研究

Efficacy of Metformin Combined with Insulin Glargine on Type 2 Diabetes Patients with Sleep Disorders

房丛丛1
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作者信息

  • 1. 济南市第一人民医院,济南,250014
  • 折叠

摘要

目的:分析二甲双胍与甘精胰岛素形成的综合干预策略在纠正2型糖尿病患者睡眠障碍中发挥的优势与能力.方法:选取2023年1月至2024年1月济南市第一人民医院内分泌科收治的2型糖尿病伴睡眠障碍患者80例为研究对象,按照随机数字表法分为对照组和观察组,每组40例,对照组给予甘精胰岛素治疗,观察组给予二甲双胍联合甘精胰岛素治疗.采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,比较2组患者糖代谢指标、胰岛素用量、血糖达标时胰岛素用量、血糖达标时间、低血糖发生频率的变化,并比较2组患者的治疗效果.结果:干预后,观察组PSQI评分显著低于对照组,观察组空腹血糖、餐后血糖、糖化血红蛋白水平显著低于对照组,观察组总胰岛素用量与血糖达标时胰岛素用量、血糖达标时间显著低于对照组,观察组治疗有效率显著高于对照组,差异均有统计学意义(均P<0.05).结论:二甲双胍联合甘精胰岛素形成的综合治疗策略利于纠正2型糖尿病患者的睡眠障碍,同时可有效协助患者达到理想治疗期望,值得临床推广应用.

Abstract

Objective:To analyze the advantages and effectiveness of the comprehensive intervention strategy of metformin and in-sulin glargine in correcting sleep disorders in patients with type 2 diabetes.Methods:A total of 80 patients with type 2 diabetes and sleep disorders treated at the Endocrinology Department of Ji'nan First People's Hospital from January 2023 to January 2024 were selected as research subjects.Participants were randomly assigned to a control group(n=40),receiving only insulin glargine,and an observation group(n=40),treated with both metformin and insulin glargine.The Pittsburgh Sleep Quality Index(PSQI)was used to compare changes in sleep quality before and after the intervention.The changes in glycemic control indica-tors,insulin dosage,insulin dosage at the time of glucose control,time to achieve glycemic control,and frequency of hypoglycemia were compared between the two groups,as well as the overall treatment efficacy.Results:Post-intervention,the observation group exhibited significantly lower PSQI scores compared to the control group.The fasting blood glucose,postprandial blood glucose,and glycated hemoglobin levels in the observation group were significantly lower than those in the control group.Additionally,the total insulin dosage,insulin dosage at the time of glycemic control,and time to achieve glycemic control were significantly lower in the observation group.The treatment efficacy in the observation group was significantly higher than that in the control group,with all differences being statistically significant(P<0.05).Conclusion:The comprehensive treatment strategy of metformin combined with insulin glargine is effective in correcting sleep disorders in patients with type 2 diabetes and can help patients achieve optimal therapeutic outcomes.It is worthy of clinical promotion and application.

关键词

2型糖尿病/睡眠障碍/二甲双胍/甘精胰岛素/临床疗效/并发症/低血糖/睡眠质量

Key words

Type 2 diabetes/Sleep disorders/Metformin/Insulin glargine/Clinical efficacy/Complications/Hypoglycemia/Sleep quality

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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