首页|胰岛素联合二甲双胍治疗新诊2型糖尿病患者的合理用药分析

胰岛素联合二甲双胍治疗新诊2型糖尿病患者的合理用药分析

Rational Use of Insulin Combined with Metformin in the Treatment of Newly Diagnosed Type 2 Diabetes

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目的 评估新诊2型糖尿病临床单一使用胰岛素与联合二甲双胍治疗对疾病临床血糖、血脂、胰岛素功能指标的影响及用药安全性.方法 选择2018年11月—2022年12月南平市政和县医院接收的需药物治疗的80例新诊2型糖尿病患者为研究对象.采用随机数表法分为单一组(单一胰岛素)与联合组(胰岛素联合二甲双胍),每组40例.对比两组血糖、肝肾功能、胰岛素功能指标.结果 两组血糖指标比较,差异无统计学意义(P>0.05),联合组糖化血红蛋白水平低于单一组,三酰甘油、血清总胆固醇改善情况优于单一组,丙二醛指标低于单一组,超氧化物歧化酶高于单一组,差异有统计学意义(P均<0.05).两组治疗前后肝肾功能组内及组间对比,差异无统计学意义(P>0.05).联合组胰岛素敏感指数、胰岛素分泌指数高于单一组,胰岛素抵抗指数低于单一组,差异有统计学意义(P均<0.05).结论 胰岛素联合二甲双胍可促进新诊2型糖尿病达到良好的血糖控制,对改善患者代谢状态具有重要意义.
Objective To evaluate the effects of single insulin and combined metformin on blood glucose,blood lipids,insulin function and safety of newly diagnosed type 2 diabetes mellitus.Methods From November 2018 to December 2022,80 patients with newly diagnosed type 2 diabetes who needed drug treatment received by Nanping Zhenghe County Hospital were selected as the research objects.They were divided into single group(single insulin)and com-bined group(insulin combined with metformin)by random number table method,with 40 cases in each group.The blood glucose,liver and kidney function,insulin function index and medication safety were compared between the two groups.Results There was no statistically significant difference in blood glucose indicators between the two groups(P>0.05).The glycated hemoglobin level in the combination group was lower than that in the single group,while the im-provement in triglycerides and serum total cholesterol were better than those in the single group,the malondialdehyde index was lower than that in the single group,and the superoxide dismutase was higher than that in the single group,the differences were statistically significant(all P<0.05).There was no statistically significant difference in liver and kidney function between the two groups before and after treatment,both within and between groups(P>0.05).The in-sulin sensitivity index and insulin secretion index of the combined group were higher than those of the single group,while the insulin resistance index was lower than that of the single group,the differences were statistically significant(all P<0.05).Conclusion Insulin combined with metformin can promote good blood glucose control in newly diag-nosed type 2 diabetes mellitus,which is of great significance for improving the metabolic status of patients.

InsulinMetforminNewly diagnosed type 2 diabetesRational drug use

李式毫、许少梅、魏品亮

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南平市政和县医院药剂科,福建南平 353600

胰岛素 二甲双胍 新诊2型糖尿病 合理用药

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(2)
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