首页|恩格列净、利拉鲁肽、二甲双胍治疗新发2型糖尿病合并非酒精性脂肪肝患者的效果比较

恩格列净、利拉鲁肽、二甲双胍治疗新发2型糖尿病合并非酒精性脂肪肝患者的效果比较

Comparison of the Effects of Empagliflozin,Liraglutide,and Metformin in the Treatment of Patients with New-onset Type 2 Diabetes and Non-alcoholic Fatty Liver Disease

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目的 分析恩格列净、利拉鲁肽、二甲双胍对新发2型糖尿病合并非酒精性脂肪肝的疗效.方法 选取2022年10月—2023年10月临沂市兰陵经济开发区医院收治的150例2型糖尿病合并非酒精性脂肪肝患者为研究对象,根据抽签法分为A组、B组、C组,各50例.A组行恩格列净治疗,B组行利拉鲁肽治疗,C组行二甲双胍治疗.比较3组的血糖、血脂及肝功能指标.结果 治疗前,3组血糖、血脂及肝功能指标比较,差异无统计学意义(P均>0.05);治疗后,A组和B组的血糖指标低于C组,差异有统计学意义(P均<0.05);B组的总胆固醇及低密度脂蛋白低于A组和C组,差异有统计学意义(P均<0.05);A组和B组的肝功能指标低于C组,差异有统计学意义(P均<0.05).结论 对新发2型糖尿病非酒精性脂肪肝患者而言,恩格列净、利拉鲁肽均能显著的降糖及调节肝功能,利拉鲁肽能更好地纠正血脂水平,相比二甲双胍均有明显优势.
Objective To analyze the efficacy of emgagliflozin,liraglutide and metformin on new type 2 diabetes melli-tus with nonalcoholic fatty liver disease.Methods 150 patients with type 2 diabetes combined with non-alcoholic fatty liver admitted to Linyi Lanling Economic Development Zone Hospital from October 2022 to October 2023 were selected as the study objects.According to the lottery method,they were divided into group A,group B and group C,with 50 cases each.Group A received empagliflozin,Group B received liraglutide,and Group C received metformin.Blood glucose,lipids and liver function indexes were compared in 3 groups.Results Before treatment,there was no statistically significant difference of blood glucose,lipid and liver function indexes were compared in the 3 groups(all P>0.05).After treatment,the blood glucose parameters in groups A and B were lower than those in group C,and the differences were statistically significant(both P<0.05).Total cholesterol and low densith lipoprotein in group B were lower than those in groups A and C,and the differences were statistically significant(all P<0.05).Liver function index in groups A and B were lower than that in group C,and the differences were statistically significant(both P<0.05).Conclusion For new patients with non-alcoholic fatty liver disease with type 2 diabetes,empagliflozin and liraglutide can significantly reduce blood glucose and regulate liver function,and liraglutide can better correct blood lipid levels,which has obvious advantages over metformin.

MetforminLiver functionEmpagliflozinNon-alcoholic fatty liver diseaseLiraglutideType 2 diabetes

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临沂市兰陵经济开发区医院消化内科,山东临沂 276000

二甲双胍 肝功能 恩格列净 非酒精性脂肪肝 利拉鲁肽 2型糖尿病

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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