首页|达格列净治疗2型糖尿病合并心衰的疗效及对胰岛功能、心功能的影响

达格列净治疗2型糖尿病合并心衰的疗效及对胰岛功能、心功能的影响

Effect of Dapagliflozin in the Treatment of Type 2 Diabetes Mellitus with Heart Failure and Its Effect on Islet Function and Cardiac Function In-dexes

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目的 分析达格列净对2型糖尿病合并心衰患者的疗效及对胰岛功能、心功能的影响.方法 选取2021年5月—2023年6月福建省南平市建阳中医院收治的98例2型糖尿病合并心衰患者为研究对象,以随机数表法分为对照组和观察组,两组统一接受心衰常规治疗,对照组(n=49)予以二甲双胍片及重组甘精胰岛素治疗,观察组(n=49)在对照组基础上联合达格列净治疗.对比两组血糖指标、胰岛功能、心功能指标.结果 观察组血糖各指标水平均低于对照组,差异有统计学差异(P均<0.05);观察组胰岛功能各指标水平均优于对照组,差异有统计学差异(P均<0.05);观察组心功能各指标水平均优于对照组,差异有统计学差异(P均<0.05).结论 在常规降糖药物治疗基础上联用达格列净,可更好地改善2型糖尿病合并心衰患者的胰岛功能和心功能,可行性良好.
Objective To analyze the effect of dapagliflozin in the treatment of patients with type 2 diabetes mellitus and heart failure and its effects on islet function and cardiac function.Methods A total of 98 patients with type 2 dia-betes mellitus and heart failure who were admitted to Jianyang Hospital of Traditional Chinese Medicine,Nanping,Fu-jian Province from May 2021 to June 2023 were selected as study objects,and they were equally divided into the con-trol group and the observation group by random number table method and received the conventional treatment of heart failure.The control group(n=49)was treated with metformin tablets and recombinant insulin glargine,and the observa-tion group(n=49)was treated with dapagliflozin based on the control group.Blood glucose index,islet function and cardiac function index were compared between the two groups.Results The blood glucose levels in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05)The in-dexes of islet function in the observation group were better than those of control group,and the differences were statis-tically significant(all P<0.05).The indexes of cardiac function in the observation group were better than those of con-trol group,and the differences were statistically significant(all P<0.05).Conclusion On the basis of conventional hy-poglycemic drug therapy,the combination of dapagliflozin can better improve insulin function and cardiac function in-dexes in patients with type 2 diabetes mellitus and heart failure,which is feasible.

Type 2 diabetesHeart failureDapagliflozinInsulin functionCardiac function index

吴理平

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福建省南平市建阳中医院内科,福建南平 354200

2型糖尿病 心衰 达格列净 胰岛素功能 心功能指标

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(6)
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