首页|个体化饮食护理联合达格列净在2型糖尿病患者中的应用价值

个体化饮食护理联合达格列净在2型糖尿病患者中的应用价值

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目的 探讨个体化饮食护理联合达格列净对 2 型糖尿病(T2DM)患者糖脂代谢、心功能及胰岛功能的影响.方法 选取 2023 年 1 月-10 月惠来县慈云中医院收治的 60 例T2DM患者为对象.按照抽签法分为对照组与观察组,各30 例.对照组采用二甲双胍缓释片治疗,观察组采用达格列净治疗.治疗期间,两组均接受个体化饮食护理,对比两组血糖指标、脂代谢情况、胰岛功能、心功能及不良反应.结果 经治疗,观察组血糖指标、胰岛素抵抗指数(HOMA-IR)、血清瘦素、APN水平均低于对照组,胰岛β细胞功能指数(HOMA-β)、左心室射血分数(LVEF)均高于对照组,左心室舒张末期内径(LVEDD)短于对照组,P<0.05.两组用药期间不良反应发生率对比,P>0.05.结论 个体化饮食护理联合达格列净可有效调节T2DM患者的糖、脂代谢水平,改善患者心功能及胰岛功能,且不增加不良反应.
Application Value of Individualized Diet Nursing Combined with Dagaglizin in Patients with Type 2 Diabetes Mellitus
Objective:To explore the effects of individualized diet nursing combined with Dapagliflozin on glucose and lipid metabolism,cardiac function and islet function in patients with type 2 diabetes.Methods:Sixty patients with T2DM admit-ted to Ciyunzhong Hospital in Huilai County from January to October,2023 were selected as subjects.According to the drawing method,they were divided into control group and observation group,with 30 cases in each group.The control group was treated with metformin sustained-release tablets,and the observation group was treated with Dapagliflozin.During the treatment,both groups received individualized diet care,and compared the blood sugar index、lipid metabolism、islet function、cardiac function and adverse reactions between the two groups.Results:After treatment,the blood glucose in-dicators、insulin resistance index(HOMA-IR)、serum leptin and APN levels in the observation group were lower than those in the control group,while the islet β cell function index(HOMA-β)and left ventricular ejection fraction(LVEF)were higher than those in the control group,and the left ventricular end diastolic diameter(LVEDD)was shorter than that in the control group,P<0.05.The incidence of adverse reactions between the two groups was compared,P>0.05.Conclusion:Individualized diet nursing combined with Dapagliflozin can effectively regulate the level of glucose and lipid metabolism in patients with T2DM,and improve the cardiac function and islet function of patients without increasing adverse reactions.

Individualized diet nursingDaglizinType 2 diabetes

陈巧梅

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惠来县慈云中医院老年医学科,广东揭阳 515200

个体化饮食护理 达格列净 2型糖尿病

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(3)
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