首页|达格列净治疗老年2型糖尿病肾病临床疗效及对肾功能的影响

达格列净治疗老年2型糖尿病肾病临床疗效及对肾功能的影响

Clinical Efficacy of Dapagliflozin in the Treatment of Type 2 Diabetic Ne-phropathy in the Elderly and the Effect on Renal Function

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目的 分析达格列净治疗老年2型糖尿病肾病的疗效及对肾脏功能的影响.方法 选取2022年6月—2023年6月泗阳康达医院收治的老年糖尿病肾病(Diabetic Kidney Disease,DKD)患者68例,采用奇偶分组法均分为达格列净组和二甲双胍组,各34例.二甲双胍组服用二甲双胍缓释片,达格列净组给予达格列净.比较两组空腹血糖(Fasting Plasma Glucose,FPG)、餐后 2 h血糖(Two Hours Postprandial Blood Glucose,2 hPG)、血肌酐(Serum Creatinine,Scr)水平及总有效率.结果 达格列净组总有效率显著高于二甲双胍组,差异有统计学意义(P<0.05).干预后,两组FPG、2 hPG及Scr较干预前显著改善,且达格列净组各指标均优于二甲双胍组,差异有统计学意义(P均<0.05).结论 达格列净治疗老年DKD的疗效显著,可以显著降低患者血糖水平,改善肾脏功能.
Objective To analyze the efficacy of dapagliflozin in treating type 2 diabetic nephropathy in the elderly and its effect on renal function.Methods A total of 68 patients with Diabetic Kidney Disease(DKD)in Siyang Kangda Hospital from June 2022 to June 2023 were selected.All patients are divided into daglipzin group and metformin group by odd-even grouping method,with 34 patients in each group.The metformin group was given metformin sustained-release tablets,and the dagaglizin group was given dagaglizin.Fasting plasma glucose(FPG),two hours postprandial blood glucose(2 hPG),serum creatinine(Scr)levels and total effective rate were compared between the two groups.Results The total effective rate of daglipzin group was significantly higher than that of metformin group,and the difference was statistically significant(P<0.05).After intervention,FPG,2 hPG and Scr in two groups were significantly ameliorated compared with those before intervention,and all indexes in Daglipzin group were better than those in metformin group,the differences were statistically significant(all P<0.05).Conclusion The efficacy of dapa-gliflozin in the treatment of elderly DKD is remarkable,which can significantly reduce the patients'blood glucose level and improve the renal function.

DapagliflozinElderlyType 2 diabetes mellitusDiabetic nephropathyClinical efficacy

石海棠、梁蓉霞、王雪男

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泗阳康达医院内分泌科,江苏泗阳 223700

达格列净 老年 2型糖尿病 糖尿病肾病 临床疗效

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(4)
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