首页|二甲双胍治疗初诊2型糖尿病患者的效果研究

二甲双胍治疗初诊2型糖尿病患者的效果研究

Effect of Metformin Therapy on Newly Diagnosed Type 2 Diabetes Mellitus

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目的 探究二甲双胍在治疗初诊2型糖尿病中的效果.方法 选择2023年1-12月沙县区中医医院收治的84例初诊2型糖尿病患者为研究对象,以治疗方法不同分为对照组(42例,服用阿卡波糖)和研究组(42例,服用二甲双胍).比较两组治疗总有效率、用药不良反应发生率(恶心、呕吐、头晕、腹泻)、血糖指标(糖化血红蛋白、空腹血糖、餐后2 h血糖)、胰岛功能(空腹胰岛素、胰岛素抵抗指数、胰岛β细胞功能指数).结果 研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).研究组空腹血糖、餐后2 h血糖及糖化血红蛋白均低于对照组,差异有统计学意义(P均<0.05).治疗后与对照组比较,研究组胰岛β细胞功能指数更高,空腹胰岛素、胰岛素抵抗指数均更低,差异有统计学意义(P均<0.05).结论 二甲双胍在初诊2型糖尿病治疗中应用有较好的效果.
Objective To investigate the effect of metformin in the treatment of newly diagnosed type 2 diabetes melli-tus.Methods A total of 84 patients with newly diagnosed type 2 diabetes mellitus admitted to Shaxian Hospital of Tra-ditional Chinese Medicine from January to December 2023 were selected as the research objects.They were divided into control group(42 cases,taking acarbose)and study group(42 cases,taking metformin)by different treatment methods.The total effective rate,incidence of adverse drug reactions(nausea,vomiting,dizziness,diarrhea),blood glu-cose index(glycated hemoglobin A1c,fasting blood glucose,2-hour postprandial blood glucose),islet function(fasting insulin,insulin resistance index,islet β cell function index)were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statisti-cally significant(P<0.05).There was no significant difference in the incidence of advers reactions between the two groups(P>0.05).The fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,compared with the control group,the islet β cell function index of the study group was higher,and the fasting insulin and insulin resistance index were lower,the differences were statistically significant(all P<0.05).Conclusion Metformin has a good effect in the treatment of newly diagnosed type 2 diabetes mellitus.

Type 2 diabetes mellitusMetforminBlood glucoseIslet function

邱丽娟、陈亮

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三明市沙县区中医医院内四科,福建 三明 365500

三明市沙县区总医院内六科,福建 三明 365500

2型糖尿病 二甲双胍 血糖 胰岛功能

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(11)