糖尿病新世界2024,Vol.27Issue(2) :108-111.DOI:10.16658/j.cnki.1672-4062.2024.02.108

利拉鲁肽联合二甲双胍对糖尿病的治疗价值分析

Analysis of the Therapeutic Value of Liraglutide Combined with Metfor-min in Diabetes

龚循俊
糖尿病新世界2024,Vol.27Issue(2) :108-111.DOI:10.16658/j.cnki.1672-4062.2024.02.108

利拉鲁肽联合二甲双胍对糖尿病的治疗价值分析

Analysis of the Therapeutic Value of Liraglutide Combined with Metfor-min in Diabetes

龚循俊1
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作者信息

  • 1. 山东省淄博市淄川区医院内分泌科,山东淄博 255100
  • 折叠

摘要

目的 研究糖尿病应用利拉鲁肽联合二甲双胍的治疗效果.方法 选取2019年7月—2021年7月淄博市淄川区医院内分泌科收治的90例糖尿病患者为研究对象,按随机数表法分为研究组和对照组,每组45例.研究组采取利拉鲁肽联合二甲双胍治疗,对照组采取二甲双胍治疗,观察并比较两组患者的不良反应、糖化血红蛋白(Glycosylated Hemoglobin,HbA1c)、空腹血糖(Fasting Plasma Glucose,FPG)、餐后 2 h血糖(2-hour Postprandial Blood Glucose,2 hPG)、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)、血清淀粉样蛋白A(Serum Amyloid A,SAA)、白细胞介素-6(Interleukin-6,IL-6)水平、体质指数(Body Mass Index,BMI)情况.结果 研究组治疗后的HbA1c、FPG、2 hPG水平均低于对照组,差异有统计学意义(P均<0.05);研究组治疗后的TNF-α、SAA、IL-6水平均显著低于对照组,差异有统计学意义(P均<0.05);研究组的不良反应总发生率与对照组比较,差异无统计学意义(P>0.05);治疗后研究组BMI水平低于对照组,差异有统计学意义(P<0.05).结论 对糖尿病患者采取利拉鲁肽联合二甲双胍治疗,能够降低患者体质量,缓解炎症,改善胰岛功能,降低血糖,且安全性较高,治疗效果显著.

Abstract

Objective To study the therapeutic effect of liraglutide combined with metformin in diabetes.Methods From July 2019 to July 2021,a total of 90 diabetic patients admitted to the Department of Endocrinology of Zichuan District Hospital of Zibo were selected as the research objects.According to the random number table method,they were divided into the study group and the control group,with 45 cases in each group.The study group was treated with liraglutide combined with metformin,and the control group was treated with metformin.The adverse reactions,glyco-sylated hemoglobin(HbA1c),fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2 hPG),tumor necro-sis factor-α(TNF-α),serum amyloid A(SAA),interleukin-6(IL-6)and body mass index(BMI)were observed and compared between the two groups.Results After treatment,the levels of HbA1c,FPG and 2 hPG in the study group were all lower than those in the control group,and the differences were statistically significant(all P<0.05).After treat-ment,the levels of TNF-α,SAA and IL-6 in the study group were all significantly lower than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the total in-cidence of adverse reactions between the study group and the control group(P>0.05).After treatment,the BMI level of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Liraglutide combined with metformin can reduce body weight of patients,relieve inflammation,improve pancreatic islet function,and reduce blood glucose in patients with diabetes.It is safe and has significant therapeutic effect.

关键词

糖尿病/利拉鲁肽/二甲双胍/血糖

Key words

Diabetes/Liraglutide/Metformin/Blood glucose

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出版年

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
参考文献量15
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