首页|2型糖尿病患者采用达格列净片联合盐酸二甲双胍缓释片治疗的临床效果

2型糖尿病患者采用达格列净片联合盐酸二甲双胍缓释片治疗的临床效果

Clinical Effect of Dapagliflozin Tablets Combined with Metformin Hydro-chloride Sustained-release Tablets in Treatment of Type 2 Diabetes Melli-tus

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目的 探索2型糖尿病行达格列净片+盐酸二甲双胍缓释片治疗的优势.方法 选取大田县中医院于2021年1月—2023年12月收治的139例2型糖尿病患者为研究对象,按照随机抽签方式将患者分为两组,对照组69例,给予盐酸二甲双胍缓释片治疗,观察组70例,开展达格列净片+盐酸二甲双胍缓释片治疗,比较两组临床治疗效果、血糖指标、血脂指标、体质指数、同型半胱氨酸、胰岛功能和不良反应.结果 观察组总有效率(97.14%)高于对照组(88.41%),差异有统计学意义(χ2=3.973,P<0.05).治疗前两组血糖、血脂指标、体质指数、同型半胱氨酸对比,差异无统计学意义(P均>0.05);治疗后观察组血糖、血脂指标、体质指数、同型半胱氨酸低于对照组,差异有统计学意义(P均<0.05).治疗前两组胰岛功能对比,差异无统计学意义(P>0.05);治疗后观察组胰岛功能优于对照组,差异有统计学意义(P<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论 达格列净片+盐酸二甲双胍缓释片可以有效改善患者血糖指标,保证血糖稳定,同时改善患者胰岛功能,降低对机体产生的副作用,安全性良好.
Objective To explore the control advantage of dapagliflozin tablets plus metformin hydrochloride sustained-release tablets for type 2 diabetes.Methods 139 cases of type 2 diabetes mellitus patients admitted to Da-tian County Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as study subjects,and the patients were divided into two groups according to the randomized draw,69 cases in the control group were given metformin hydrochloride extended-release tablets,and 70 cases in the observation group were car-ried out with dagliflozin tablets+metformin hydrochloride extended-release tablets,and the clinical effects,blood glu-cose index,blood lipid index,body mass index,homocysteine,pancreatic islet function and adverse reactions of the two groups were compared.Results The total effective rate of the observation group(97.14%)was higher than that of the control group(88.41%),and the difference was statistically significant(χ2=3.973,P<0.05).Comparison of blood glucose,lipid index,body mass index and homocysteine between the two groups before treatment,the differences were not statistically significant(all P>0.05);after treatment,the observation group's blood glucose,lipid index,body mass index and homocysteine were lower than that of the control group,and the differences were statistically significant(all P<0.05).Comparison of pancreatic islet function between the two groups before treatment,the difference was not sta-tistically significant(P>0.05);after treatment,the islet function of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observa-tion group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Dapagliflozin tablets plus metformin hydrochloride sustained-release tablets can effectively improve the blood glucose index of patients,ensure the stability of blood glucose,improve the islet function of patients,reduce the side effects on the body,and have good safety.

Dapagliflozin tabletType 2 diabetesMetformin hydrochloride sustained-release tablets

张秀华、林秀贞

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大田县中医院药剂科,福建大田 366100

达格列净片 2型糖尿病 盐酸二甲双胍缓释片

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(6)
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