糖尿病新世界2024,Vol.27Issue(11) :125-128.DOI:10.16658/j.cnki.1672-4062.2024.11.125

司美格鲁肽在骨化三醇辅助治疗糖尿病伴桥本甲状腺炎中的临床疗效分析

Clinical Efficacy Analysis of Smeglutide in the Adjuvant Treatment of Dia-betes Mellitus with Hashimoto's Thyroiditis with Osteotriol

蔡芳芳 张优创 张燕妮 张瑞萍
糖尿病新世界2024,Vol.27Issue(11) :125-128.DOI:10.16658/j.cnki.1672-4062.2024.11.125

司美格鲁肽在骨化三醇辅助治疗糖尿病伴桥本甲状腺炎中的临床疗效分析

Clinical Efficacy Analysis of Smeglutide in the Adjuvant Treatment of Dia-betes Mellitus with Hashimoto's Thyroiditis with Osteotriol

蔡芳芳 1张优创 1张燕妮 1张瑞萍1
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作者信息

  • 1. 揭西县人民医院内四科,广东 揭阳 515400
  • 折叠

摘要

目的 探究骨化三醇辅助治疗糖尿病伴发桥本甲状腺炎时应用司美格鲁肽的价值.方法 选取2021年1月—2023年12月揭西县人民医院收治的90例伴发桥本甲状腺炎的糖尿病患者为研究对象.根据不同的治疗方法将其分为研究组(n=45,常规桥本甲状腺炎治疗+骨化三醇+司美格鲁肽)、对照组(n=45,常规桥本甲状腺炎治疗+骨化三醇+二甲双胍),比较两组血糖(空腹血糖、餐后2 h血糖、糖化血红蛋白)、胰岛素指标(胰岛素抵抗指数、胰岛β细胞功能指数).结果 治疗前,对比两组血糖、胰岛素指标,差异无统计学意义(P均>0.05);治疗后,研究组的各项指标水平均优于对照组,差异有统计学意义(P均<0.05).结论 在临床实践中,当糖尿病伴发桥本甲状腺炎时,应用司美格鲁肽治疗的价值较为理想,能够显著改善血糖、胰岛素分泌情况,增强临床整体治疗效果.

Abstract

Objective To explore the value of smeglutide in the adjuvant treatment of diabetes mellitus with Hashi-moto's thyroiditis with osteotnol.Methods A total of 90 diabetic patients with Hashimoto's thyroiditis admitted to Jiexi County People's Hospital from January 2021 to December 2023 were selected as the study subjects.According to different treatment methods,they were divided into study group(n=45,conventional Hashimoto's thyroiditis treat-ment+calcitriol+semeglutide)and control group(n=45,conventional Hashimoto's thyroiditis treatment+calcitriol+metformin).The differences in blood glucose(Fasting blood glucose,2 h postprandial blood glucose,glycosylated he-moglobin A1c)and insulin indexes(homeostatic model assessment of insulin resistance,homeostatic model assess-ment of β-cell function,HOMA-β)were compared between two groups.Results Before treatment,there was no sig-nificant difference in blood glucose and insulin between the two groups(all P>0.05).After treatment,the levels of all indexes in the study group were better than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion In clinical practice,when diabetes mellitus is accompanied by Hashimoto's thyroiditis,the value of smeglutide treatment is ideal,which can significantly improve blood glucose and insulin secretion,and en-hance the overall clinical treatment effect.

关键词

糖尿病/桥本甲状腺炎/骨化三醇/司美格鲁肽/二甲双胍

Key words

Diabetes mellitus/Hashimoto's thyroiditis/Osteotriol/Simeglutide/Metformin

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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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