首页|瑞格列奈联合二甲双胍对西宁地区2型糖尿病患者PAI-1水平的影响

瑞格列奈联合二甲双胍对西宁地区2型糖尿病患者PAI-1水平的影响

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目的:研究瑞格列奈联合二甲双胍对西宁地区2型糖尿病患者纤维蛋白溶酶原激活抑制因子-1 (PAI-1)水平的影响.方法:选择2012年2月~2015年9月在我院进行诊治的2型糖尿病患者98例,随机分为三组,分别用瑞格列奈、二甲双胍单独治疗和两药联合治疗.在治疗前后分别检测空腹血糖、糖化血红蛋白和PAI-1水平.结果:联合用药组的治疗总有效率为94.12%,明显高于瑞格列奈组(71.87%)和二甲双胍组(75.00%)(P<0.05);瑞格列奈组和二甲双胍组治疗6周后,空腹血糖、糖化血红蛋白和PAI-1水平均明显降低(P<0.05),但两单独用药组间相比无显著性差异;联合治疗组上述指标均较单独用药明显降低(P<0.05).联合治疗期间低血糖和胃肠不适的发生率较单独用药无明显升高.结论:瑞格列奈和二甲双胍可较单药治疗进一步降低2型糖尿病患者的PAI-1水平,这可能有助于改善患者的血液凝固程度,减少血管相关并发症,且无明显不良反应,值得临床应用推广.
Effect of Repaglinide Combined with Metformin on the PAI-1 Levels of Type 2 Diabetic Patients' in Xining Area
Objective:To investigate the clinical effect of repaglinide combined with mefformin on the PAI-1 levels of type 2 diabetic patients in Xining area.Methods:98 cases of patients with type 2 diabetes admitted in our hospital from January 2012 to September 2015 were selected and divided into three groups,which were treated with repaglinide,metformin,and both drugs.The fasting blood glucose,glycosylated hemoglobin and PAI-1 levels were detected.Results:The effective rate of combination group was 94.12%,which was significantly higher than the repaglinide group(71.87%) and metformin group (75.00%) (P<0.05).After treatment,the FBG,HBAlc and PAI-1 levels of three groups were significantly decreased (P<0.05),which were significantly lower in the combination group than those of repaglinide group and metformin group (P<0.05) No obvious difference was found in the incidence of hypoglycemia and gastrointestinal among three groups.Conclusion:Compared with single drug treatment,repaglinide combined with metformin could more effectively reduce the PAI-1 levels of patients with type 2 diabetes,which might contribute to the improvement of blood coagulation,decrease of vascular complications,and had no obvious adverse reactions.

Xining areaRepaglinideMetforminType 2 diabetesPAI-1

汪发莲、杨生仁、李舜君、孙成芝、杨君慧

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青海省西宁市第一人民医院内分泌科 青海西宁810000

西宁地区 瑞格列奈 二甲双胍 2型糖尿病 纤维蛋白溶酶原激活抑制因子-1

2016

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2016.16(26)
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