首页|司美格鲁肽联合胰岛素治疗2型糖尿病的临床疗效及不良反应分析

司美格鲁肽联合胰岛素治疗2型糖尿病的临床疗效及不良反应分析

Clinical Efficacy and Adverse Reactions of Semaglutide Combined with In-sulin in the Treatment of Type 2 Diabetes Mellitus

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目的 探析司美格鲁肽联合胰岛素治疗2型糖尿病(Type 2 Diabetes Mellitus,T2DM)的临床疗效及安全性.方法 回顾性选取2023年1-12月福建省立医院收治的80例T2DM患者的临床资料,以治疗方案不同分为两组,各40例,对照组给予门冬胰岛素治疗,观察组联合司美格鲁肽治疗,比较两组临床疗效、糖代谢指标、脂代谢指标、不良反应.结果 观察组总有效率高于对照组,差异有统计学意义(P<0.05).治疗后,观察组空腹及餐后2 h血糖和糖化血红蛋白指标水平均低于对照组,差异有统计学意义(P均<0.05).治疗后,观察组各项血脂指标水平均优于对照组,差异有统计学意义(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 司美格鲁肽联合胰岛素治疗T2DM疗效确切,改善糖代谢、脂代谢等作用明显,且不良反应少,安全性可靠.
Objective To explore the clinical efficacy and safety of semaglutide combined with insulin in the treat-ment of type 2 diabetes mellitus(T2DM).Methods Clinical data of eighty T2DM patients admitted to Fujian Provin-cial Hospital from January to December 2023 were retrospectively selected and divided into two groups with forty cases each according to different treatment plans.The control group was treated with aspartate insulin,and the obser-vation group was treated with semaglutide in combination.The clinical efficacy,glucose metabolism index,lipid me-tabolism index and adverse reactions were compared between the two groups.Results The total effective rate of the ob-servation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Af-ter treatment,fasting and 2 h postprandial plasma glucose and HbA1c index levels in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,all blood lipid indexes levels in the observation group were better than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the total incidence of adverse reac-tions between the two groups(P>0.05).Conclusion Semaglutide combined with insulin in the treatment of T2DM has definite efficacy,obvious improvement of glucose metabolism,lipid metabolism,and less adverse reactions,and is safe and reliable.

Type 2 diabetes mellitusInsulin aspartateSemaglutideClinical effectAdverse reaction

陈燏

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福建省立医院药学部,福建 福州 350001

2型糖尿病 门冬胰岛素 司美格鲁肽 临床疗效 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(8)