首页|司美格鲁肽联合二甲双胍治疗对2型糖尿病患者血糖水平及生活质量的影响

司美格鲁肽联合二甲双胍治疗对2型糖尿病患者血糖水平及生活质量的影响

Effect of Semaglutide Combined with Metformin on Blood Glucose Level and Quality of Life in Patients with Type 2 Diabetes Mellitus

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目的 分析2型糖尿病患者采用二甲双胍、司美格鲁肽联合治疗的效果,以及对血糖水平、生活质量的影响.方法 选取2021年11月—2023年11月厦门市第三医院收治的80例2型糖尿病患者为研究对象,按随机数表法分为对照组与研究组,各40例.对照组仅接受二甲双胍治疗,研究组在二甲双胍治疗的基础上,联合应用司美格鲁肽治疗.对比两组血糖、胰岛素抵抗及胰岛素水平、生活质量及不良反应发生情况.结果 治疗后,研究组的空腹血糖、餐后2 h血糖、糖化血红蛋白、空腹胰岛素、餐后1 h胰岛素以及胰岛素抵抗指数水平均低于对照组,差异有统计学意义(P均<0.05).治疗后,研究组生活质量评分明显高于对照组,差异有统计学意义(P<0.05).两组不良反应发生情况比较,差异无统计学意义(P>0.05).结论 在选择二甲双胍治疗2型糖尿病患者时,联合应用司美格鲁肽能取得显著疗效,能有效降低血糖水平,更好控制胰岛素水平,显著提高其生活质量,且药物不良反应少,安全性较高.
Objective To analyze the effect of combined treatment with metformin and semaglutide on blood glucose level and quality of life in patients with type 2 diabetes mellitus.Methods A total of eighty patients with type 2 diabe-tes mellitus treated in Xiamen Third Hospital from November 2021 to November 2023 were selected as the study ob-jects,and they were divided into control group and study group according to random number table method,with forty cases in each group.The control group only received metformin treatment,and the study group was combined with semaglutide treatment on the basis of metformin treatment.The blood glucose indexes,insulin resistance and insulin level,quality of life,and incidence of adverse reactions of the two groups were compared.Results After treatment,the levels of fasting plasma glucose,2-hour postprandial plasma glucose,glycated hemoglobin A1c,fasting insulin,1-hour postprandial insulin and home ostatic model assessment insulin resistance in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the quality of life score of the study group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusion When metformin is selected for the treatment of type 2 diabetes patients,the combined applica-tion of semaglutide can achieve significant efficacy,effectively reduce blood glucose levels,better control insulin lev-els,significantly improve their quality of life,with less adverse drug reactions and high safety.

SemaglutideMetforminType 2 diabetes mellitusBlood glucose levelsQuality of life

黄燕惠、林明琼、李军

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厦门大学附属第一医院同安院区(厦门市第三医院)药学部,福建 厦门 361000

司美格鲁肽 二甲双胍 2型糖尿病 血糖水平 生活质量

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(8)