首页|羟苯磺酸钙与阿卡波糖联治对糖尿病视网膜病变伴白内障患者血糖、炎症及生活质量的影响

羟苯磺酸钙与阿卡波糖联治对糖尿病视网膜病变伴白内障患者血糖、炎症及生活质量的影响

Effects of Calcium Dobesilate Combined with Acarbose on Blood Glucose,Inflammation and Quality of Life in Patients with Diabetic Retinopathy and Cataract

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目的 探讨羟苯磺酸钙与阿卡波糖联治对糖尿病视网膜病变伴白内障患者血糖、炎症及生活质量的影响.方法 选取2019年12月—2021年12月厦门大学附属第一医院收治的121例糖尿病视网膜病变伴白内障患者作为研究对象,按照随机数表法分为两组,对照组(60例)采用阿卡波糖治疗,研究组(61例)在对照组基础上加用羟苯磺酸钙治疗,并分别对两组患者治疗前后的血糖水平、炎症因子水平及生活质量进行比较和分析.结果 治疗前,两组患者血糖指标对比,差异无统计学意义(P>0.05);治疗后,两组血糖指标较治疗前明显降低,但组间血糖指标比较,差异无统计学意义(P>0.05).与对照组相比,研究组白细胞介素6、肿瘤坏死因子α、超敏C反应蛋白及降钙素原水平均较低,差异有统计学意义(P均<0.05).治疗后,研究组低视力者生活质量量表评分高于对照组,差异有统计学意义(P<0.05).结论 羟苯磺酸钙与阿卡波糖联治对糖尿病视网膜病变伴白内障患者效果显著,既能有效控制血糖水平,同时抑制体内炎症反应,进而改善患者视功能及生活质量.
Objective To investigate the effects of calcium dobesilate combined with acarbose on blood glucose,in-flammation and quality of life in patients with diabetic retinopathy and cataract.Methods A total of 121 patients with diabetic retinopathy and cataract admitted to the First Affiliated Hospital of Xiamen University from December 2019 to December 2021 were selected as the study objects,and were divided into two groups according to random number table method.The control group(60 cases)was treated with acarbose,and the research group(61 cases)was treated with calcium dobesilate on the basis of the control group.And the blood glucose level,inflammation indexes level and quality of life of the two groups were compared and analyzed.Results Before treatment,there was no significant differ-ence in blood glucose index between two groups(P>0.05);after treatment,the blood glucose index of the study group was significantly lower than that before treatment,but there was no statistical significance in blood glucose control among the groups(P>0.05).Compared with the control group,the average levels of interleukin 6,tumor necrosis factor α,hypersensitive C-reactive protein and procalcitonin level in the study group were lower,and the differences were statistically significant(all P<0.05).After treatment,the Low Vision Quality of Life Questionnaire score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of calcium dobesilate and acarbose in the treatment of diabetic retinopathy with cataract is effective,which can effectively control blood sugar level,inhibit inflammation in vivo,and then improve the visual function and quality of life of patients.

Calcium oxybenzoateAcarboseDiabetes mellitusRetinopathyCataractsBlood glucoseInflammationQuality of life

周真宝、胡艳霞、卓楠

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厦门大学附属第一医院,福建厦门 361000

厦门市中医院,福建厦门 361006

羟苯磺酸钙 阿卡波糖 糖尿病 视网膜病变 白内障 血糖 炎症 生活质量

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(5)
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