首页|二甲双胍联合阿卡波糖在T2DM合并高血压脑出血病情稳定患者治疗中的应用效果

二甲双胍联合阿卡波糖在T2DM合并高血压脑出血病情稳定患者治疗中的应用效果

Effect of Metformin Combined with Acarbose in the Treatment of T2DM Patients with Hypertensive Intracerebral Hemorrhage

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目的 探究2型糖尿病(Type 2 Diabetes Mellitus,T2DM)合并高血压脑出血病情稳定患者治疗中二甲双胍与阿卡波糖联合治疗的应用价值.方法 选取2021年2月—2023年2月于济南市济阳区人民医院接受治疗的120例T2DM合并高血压脑出血病情稳定患者为研究对象,以信封法分为参照组(单纯应用二甲双胍)、观察组(基于参照组治疗药物加入阿卡波糖联用),各60例.对比两组临床疗效、糖代谢指标改善情况、炎性因子水平及不良反应发生率.结果 观察组临床疗效高于参照组,差异有统计学意义(P<0.05).治疗90 d后,与参照组相比,观察组各项糖代谢水平、白细胞介素-6及白细胞介素-12水平均更低,白细胞介素-10水平更高,差异有统计学意义(P均<0.05).组间不良反应总发生率对比,差异无统计学意义(P>0.05).结论 T2DM合并高血压脑出血病情稳定患者治疗中应用二甲双胍联合阿卡波糖,疗效显著,可改善糖代谢水平及炎性因子水平,两种药物联用后患者不良反应发生率也未明显增加.
Objective To explore the application value of metformin combined with acarbose in the treatment of type 2 diabetes mellitus(T2DM)patients with stable hypertensive intracerebral hemorrhage.Methods A total of one hun-dred and twenty T2DM patients with hypertensive intracerebral hemorrhage who were treated in Jiyang District People's Hospital of Jinan City from February 2021 to February 2023 were selected as the study objects and divided into the reference group(metformin alone)and the observation group(based on the combination of the reference group with acarbose)with sixty cases in each group by envelope method.The clinical efficacy,the improvement of glucose metabolism indexes,the level of inflammatory factors and the incidence of adverse reactions were compared between the two groups.Results The clinical effect of observation group was higher than that of reference group,and the differ-ence was statistically significant(P<0.05).After 90 days of treatment,compared with the reference group,the levels of glucose metabolism,interleukin-6 and interleukin-12 in the observation group were lower,and the levels of interleu-kin-10 were higher,the differences were statistically significant(all P<0.05).There was no significant difference in the total incidence of adverse reactions between groups(P>0.05).Conclusion In the treatment of T2DM patients with stable hypertensive intracerebral hemorrhage,metformin combined with acarbose has a significant effect,which can improve the level of glucose metabolism and inflammatory factors,and the incidence of adverse reactions in patients with the combination of the two drugs has not increased significantly.

Type 2 diabetes mellitusHigh blood pressureCerebral hemorrhageAcarboseGlucose metabolismIn-flammatory factor level

张红停、李强、王斌

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济南市济阳区人民医院重症医学科,山东 济南 251400

2型糖尿病 高血压 脑出血 阿卡波糖 糖代谢 炎性因子水平

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)