首页|达格列净对2型糖尿病肾病患者肾功能的影响

达格列净对2型糖尿病肾病患者肾功能的影响

Effect of Dapagliflozin on Renal Function in Patients with Type 2 Diabetic Nephropathy

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目的 通过分析达格列净对2型糖尿病肾病患者肾功能的影响,为2型糖尿病肾病患者的防治提供依据.方法 选取2021年1-12月泰安八十八医院肾内科收治的100例2型糖尿病肾病患者为研究对象.根据治疗方法不同分为两组,对照组(49例)给予二甲双胍降糖治疗,观察组(51例)在对照组基础上,给予达格列净治疗.对比两组患者治疗2个月后血糖控制指标、肾功能相关指标.结果 治疗后,观察组空腹血糖、糖化血红蛋白、平均血糖波动明显优于对照组,差异有统计学意义(P均<0.05).治疗后观察组肾小球滤过率明显高于对照组,观察组肌酐、尿素氮明显低于对照组,差异有统计学意义(P均<0.05).结论 达格列净明显改善2型糖尿病肾病患者的肾功能.
Objective To analyze the effect of dapagliflozin on renal function in patients with type 2 diabetic ne-phropathy,it provides the basis for the prevention and treatment of type 2 diabetic nephropathy patients.Methods A total of one hundred patients with type 2 diabetic nephropathy diagnosed in nephrology department of Tai'an 88th Hos-pital from January to December 2021 were selected as the study objects.According to the different treatment methods,they were divided into two groups,control group(49 cases)was given metformin hypoglycemic treatment,and observa-tion group was(51 cases)given dapagliflozin on the basis of control group.Blood glucose control indexes and renal function related indexes were compared between the two groups after 2 months of treatment.Results After treatment,the fasting blood glucose,glycosylated hemoglobin and fluctuation of average blood glucose in the observation group were significantly better than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,glomerular filtration rate the observation group was significantly higher than that in the control group,creatinine and blood urea nitrogen in the observation group were significantly lower than that in the control group,and the differences were statistically significant(all P<0.05).Conclusion Dapagliflozin significantly improved renal func-tion in patients with type 2 diabetic nephropathy.

DapagliflozinType 2 diabetic nephropathyRenal function

李峰

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泰安八十八医院肾内科,山东泰安 271000

达格列净 2型糖尿病肾病 肾功能

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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