首页|达格列净联合双歧杆菌三联活菌对糖尿病性腹泻患者的疗效及血糖水平的影响

达格列净联合双歧杆菌三联活菌对糖尿病性腹泻患者的疗效及血糖水平的影响

Effect of Dapagliflozin Combined with Bifidobacterium Trifidum on the Efficacy of Diabetic Diarrhea Patients and Blood Glucose Levels

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目的 探讨达格列净联合双歧杆菌三联活菌治疗糖尿病性腹泻的临床效用.方法 选取2021年1月—2022年12月宁化县总医院收治的糖尿病性腹泻患者80例作为研究对象,按照随机数表法分为对照组和观察组,每组40例.对照组采用二甲双胍+达格列净+蒙脱石散治疗,观察组在此基础上增加双歧杆菌三联活菌治疗.观察和比较两组患者疗效、血糖水平、肠道菌群.结果 观察组总有效率高于对照组,差异有统计学意义(P<0.05).治疗前,两组空腹血糖、餐后2 h血糖、糖化血红蛋白比较,差异无统计学意义(P均>0.05);治疗后,两组血糖水平低于治疗前,且观察组各指标数值低于对照组,差异有统计学意义(P均<0.05).治疗前,两组双歧杆菌、肠杆菌、乳酸杆菌、肠球菌水平比较,差异无统计学意义(P均>0.05);治疗后,两组双歧杆菌、乳酸杆菌水平高于治疗前,肠杆菌、肠球菌低于治疗前,且观察组双歧杆菌、乳酸杆菌水平高于对照组,肠杆菌、肠球菌水平低于对照组,差异有统计学意义(P均<0.05).结论 让糖尿病性腹泻患者服用达格列净以及双歧杆菌三联活菌,疗效显著,可调节患者肠道菌群,改善患者血糖水平.
Objective To investigate the clinical utility of dapagliflozin combined with bifidobacterium trifidum in the treatment of diabetic diarrhea.Methods A total of 80 patients with diabetic diarrhea admitted to Ninghua County Gen-eral Hospital from January 2021 to December 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was treated with metformin + dagaglizin + montmorillonite powder,and the observation group was treated with bifidobacterium triple viable bacteria on this basis.The therapeutic effect,blood glucose level and intestinal flora of the two groups were observed and 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).Before treatment,there were no sta-tistically significant differences in fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin between the two groups(all P>0.05).After treatment,the blood glucose level of the two groups was lower than before treatment,and the value of each index in the observation group was lower than that in the control group,and the differ-ences were statistically significant(all P<0.05).Before treatment,there was no statistically significant difference in the levels of bifidobacterium,enterobacter,lactobacillus and enterococcus between the two groups(all P>0.05).After treat-ment,the levels of bifidobacterium and lactobacillus in the two groups were higher than before treatment,and the lev-els of enterobacterium and enterococcus were lower than before treatment,and the levels of bifidobacterium and lacto-bacillus in the observation group were higher than those in the control group,while the levels of enterobacterium and enterococcus were lower than those in the control group,and the difference was statistically significant(all P<0.05).Conclusion When patients with diabetic diarrhea take dagaglipin and bifidobacterium triple live bacteria,the effect is significant,which can regulate the intestinal flora of patients and improve the blood sugar level of patients.

DapagliflozinBifidobacterium trifidumDiabetic diarrheaTherapeutic efficacyBlood glucose

谢永秀、张响荣、张秀林

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宁化县总医院内分泌科,福建三明 365400

宁化县总医院消化内科,福建三明 365400

达格列净 双歧杆菌三联活菌 糖尿病性腹泻 疗效 血糖

福建中医药大学校管科研项目

XB2021180

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(1)
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