首页|达格列净联合厄贝沙坦对早期糖尿病肾病患者尿蛋白及血糖血脂的影响

达格列净联合厄贝沙坦对早期糖尿病肾病患者尿蛋白及血糖血脂的影响

Effect of Dapagliflozin Combined with Irbesartan on Urinary Protein and Blood Glucose and Lipids in Patients with Early Diabetic Nephropathy

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目的 探究达格列净联合厄贝沙坦对早期糖尿病肾病患者尿蛋白及血糖血脂的影响.方法 选取2020年1月—2023年11月射阳县人民医院收治的80例早期糖尿病肾病患者为研究对象,按照随机数表法分为两组,各40例,对照组单纯使用厄贝沙坦治疗,观察组使用厄贝沙坦+达格列净治疗.对比两组临床治疗效果.结果 治疗后,观察组血糖指标水平、血脂水平、24 h尿蛋白定量均低于对照组,差异有统计学意义(P均<0.05);对照组不良反应发生率(12.50%)高于观察组(10.00%),差异无统计学意义(χ2=0.125,P>0.05).结论 达格列净+厄贝沙坦应用在早期糖尿病肾病患者治疗中,效果比较确切.
Objective To investigate the effects of dapagliflozin combined with irbesartan on urinary protein and blood glucose and lipid in patients with early diabetic nephropathy.Methods A total of 80 patients with early diabetic ne-phropathy treated in Sheyang County People's Hospital from January 2020 to November 2023 were selected as the study objects,and they were divided into two groups according to the random number table method,with 40 cases in each group.The control group was treated with irbesartan alone,and the observation group was treated with irbesartan+dapagliflozin.Comparison of the clinical treatment effects of the two groups.Results The levels of blood glucose in-dicators,levels of lipid indexes and the 24 h urine protein quantification in the observation group after treatment were lower than those in the control group,and the differences were significantly significant(all P<0.05).The incidence of adverse reactions in the control group(12.50%)was higher than the observation group(10.00%),and the difference was not significantly significant(χ2=0.125,P>0.05).Conclusion Dapagliflozin+irbesartan is applied in the treatment of patients with early diabetic nephropathy,the effect is more accurate.

DapagliflozinIrbesartanEarly diabetic nephropathyUrinary proteinBlood glucose lipidAdverse re-action

韦双娣、周大虎、王延萍

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射阳县人民医院肾内科,江苏射阳 224300

达格列净 厄贝沙坦 早期糖尿病肾病 尿蛋白 血糖血脂 不良反应

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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