糖尿病新世界2024,Vol.27Issue(8) :60-63.DOI:10.16658/j.cnki.1672-4062.2024.08.060

探讨阿卡波糖与二甲双胍在糖尿病治疗中的临床效果

Clinical Effect of Acarbose and Metformin in the Treatment of Diabetes Mellitus

魏海伦 马瑞珠 朱珠
糖尿病新世界2024,Vol.27Issue(8) :60-63.DOI:10.16658/j.cnki.1672-4062.2024.08.060

探讨阿卡波糖与二甲双胍在糖尿病治疗中的临床效果

Clinical Effect of Acarbose and Metformin in the Treatment of Diabetes Mellitus

魏海伦 1马瑞珠 1朱珠1
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作者信息

  • 1. 丹阳市人民医院内分泌科,江苏 丹阳 212300
  • 折叠

摘要

目的 探讨阿卡波糖联合二甲双胍治疗糖尿病的临床效果.方法 选取2021年1月—2023年6月丹阳市人民医院收治的120例糖尿病患者为研究对象,以随机数表法分为两组,对照组(n=60)以二甲双胍治疗,观察组(n=60)在对照组基础上联合阿卡波糖治疗,比较两组血糖指标、胰岛功能、用药安全性.结果 治疗后,观察组空腹血糖餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P均<0.05).观察组空腹胰岛素(7.70±1.28)mU/L、胰岛素抵抗指数2.46±0.72,均低于对照组的(9.82±1.45)mU/L、3.25±0.86,差异有统计学意义(t=8.490、5.456,P均<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 糖尿病治疗中在二甲双胍基础上加用阿卡波糖可获得更好效果,能改善血糖、胰岛素功能,用药安全性高.

Abstract

Objective To investigate the clinical effect of acarbose combined with metformin in the treatment of diabe-tes.Methods A total of one hundred and twenty diabetic patients admitted to Danyang People's Hospital from January 2021 to June 2023 were selected as the study objects and divided into two groups by random number table method.Control group(n=60)was treated with metformin,observation group(n=60)was treated with acarbose on the basis of control group.Blood glucose index,islet function and drug safety were compared between the two groups.Results Af-ter treatment,the levels of fasting plasma glucose,2 h postprandial plasma glucose,glycosylated hemoglobin A1c in the observation group were lower than those of control group,the differences were statistically significant(all P<0.05).Fasting insulin(7.70±1.28)mU/L and insulin resistance index 2.46±0.72 in observation group were lower than those in control group(9.82±1.45)mU/L and 3.25±0.86,the differences were statistically significant(t=8.490,5.456,both P<0.05).There was no significant difference in the total incidence of adverse reaction between the two groups(P>0.05).Conclusion In the treatment of diabetes mellitus,the addition of acarbose on the basis of metformin can obtain better results,can improve blood glucose and insulin function,and the drug safety is high.

关键词

阿卡波糖/二甲双胍/糖尿病/胰岛素功能/不良反应

Key words

Acarbose/Metformin/Diabetes mellitus/Insulin function/Adverse reaction

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出版年

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
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