首页|利拉鲁肽注射液联合盐酸二甲双胍片治疗肥胖2型糖尿病患者的临床探讨

利拉鲁肽注射液联合盐酸二甲双胍片治疗肥胖2型糖尿病患者的临床探讨

Clinical Study of Liraglutide Injection Combined with Metformin Hydro-chloride Tablets in the Treatment of Obese Patients with Type 2 Diabetes Mellitus

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目的 探究利拉鲁肽注射液结合盐酸二甲双胍在肥胖2型糖尿病患者中的诊疗效果.方法 选取2018年1月—2022年1月宜兴市第二人民医院接诊的96例肥胖2型糖尿病患者为研究对象,将其按照数表法分成两组,每组48例.对照组治疗方案为口服盐酸二甲双胍片,观察组治疗方案为利拉鲁肽注射液+二甲双胍片,两组患者均治疗3个月,对比两组患者治疗效果.结果 治疗前,两组患者血糖水平、胰岛功能以及体质指数、腰臀比对比,差异无统计学意义(P均>0.05);治疗后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平、胰岛素抵抗指数、体质指数和腰臀比均低于对照组,观察组空腹胰岛素、胰岛细胞功能指数高于对照组,差异有统计学意义(P均<0.05).结论 利拉鲁肽结合二甲双胍可同时改善肥胖2型糖尿病患者的胰岛功能和体重,还能降低其腰臀比,效果显著.
Objective To explore the therapeutic effect of Liraglutide injection combined with metformin hydrochlo-ride in obese patients with type 2 diabetes.Methods A total of 96 obese patients with type 2 diabetes admitted to the Second People's Hospital of Yixing City from January 2018 to January 2022 were selected as the study objects and di-vided into two groups according to numerical table method,with 48 patients in each group.The control group was treated with oral metformin hydrochloride tablets,and the observation group was treated with Liraglutide injection + metformin tablets.Both groups were treated for 3 months,and the treatment effect of the two groups were compared.Results Before treatment,there were no significant differences in blood glucose level,islet function,body mass index and waist-hip ratio between 2 groups(all P>0.05).After treatment,fasting blood glucose,2 h postmeal blood glucose,glycosylated hemnoglobin level,insulin resistance index,body mass index and waist-to-hip ratio in observation group were lower than those in control group,fasting insulin and islet cell function index in observation group were higher than those in control group,and the differences were statistically significant(all P<0.05).Conclusion Liraglutide com-bined with metformin can simultaneously improve the islet function and body weight of obese type 2 diabetes patients,and can also reduce their waist-to-hip ratio,the effect is significant.

Obesity type 2 diabetesLiraglutide injectionMetformin hydrochlorideEffectiveness

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宜兴市第二人民医院(宜兴市职业病防治院)内分泌科,江苏宜兴 214221

肥胖2型糖尿病 利拉鲁肽注射液 盐酸二甲双胍 有效性

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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