首页|盐酸二甲双胍与瑞格列奈联用治疗糖尿病的临床优势评价

盐酸二甲双胍与瑞格列奈联用治疗糖尿病的临床优势评价

Evaluation of the Clinical Advantages of Metformin Hydrochloride in Combination with Repaglinide in the Treatment of Diabetes Mellitus

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目的 分析盐酸二甲双胍与瑞格列奈联用治疗糖尿病的临床优势.方法 选取2020年7月—2023年7月泉州市泉港区医院中医科收治的220例糖尿病患者为研究对象,以抽签法进行分组,每组110例.对照组行盐酸二甲双胍治疗,观察组行盐酸二甲双胍与瑞格列奈联用治疗,比较两组临床疗效.结果 观察组临床总有效率高于对照组,差异有统计学意义(P<0.05).治疗后,观察组糖代谢指标低于对照组,血糖达标时间及住院时间短于对照组,差异有统计学意义(P均<0.05).治疗后,相比于对照组,观察组的血浆胰岛素、胰岛素抵抗指数更低,胰岛素β细胞功能指数更高,差异有统计学意义(P均<0.05).观察组不良反应发生率为9.09%,与对照组的4.55%相比,差异无统计学意义(P>0.05).结论 盐酸二甲双胍与瑞格列奈联用治疗糖尿病可提高疗效,调整糖代谢指标、胰岛素指标,安全性较高.
Objective To analyze the clinical advantages of the combination of metformin hydrochloride and repa-glinide in the treatment of diabetes mellitus.Methods A total of 220 cases of diabetic patients who received treatment in the Department of Traditional Chinese Medicine of Quangang District Hospital of Quanzhou City from July 2020 to July 2023 were selected as the study objects,and they were grouped by lottery method,with 110 cases in each group.The control group was treated with metformin hydrochloride,and the observation group was treated with the combina-tion of metformin hydrochloride and Repaglinide,and the clinical efficacy of the two groups were compared.Results The total clinical efficiency of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the glycemic metabolism index of the observation group was lower than that of the control group,and the time to reach the blood glucose standard and the hospitalization time were shorter those that of the control group,and the differences were statistically significant(all P<0.05).After treatment,compared with the control group,the observation group had lower plasma insulin and insulin resistance index,and higher insulin β-cell function index,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observation group was 9.09%,compared with 4.55%in the control group,and the difference was not statistically significant(P>0.05).Conclusion The combination of metformin hydrochloride and repaglinide for the treatment of diabetes mellitus can improve the efficacy,adjust the indicators of glucose metabolism and insulin,with high safety.

Metformin hydrochlorideRepaglinideDiabetes mellitusGlucose metabolic indexesInsulin indexes

柯荣虹、林莉娟、苏婉玲

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泉州市泉港区医院中医科,福建泉州 362800

盐酸二甲双胍 瑞格列奈 糖尿病 糖代谢指标 胰岛素指标

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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