首页|老年T2DM患者治疗中二甲双胍联合恩格列净对糖脂代谢水平的影响

老年T2DM患者治疗中二甲双胍联合恩格列净对糖脂代谢水平的影响

Effect of Metformin Combined with Empagliflozin on Glycolipid Metabo-lism Levels in the Treatment of Elderly Patients with T2DM

扫码查看
目的 探究老年2型糖尿病(type 2 diabetes mellitus,T2DM)患者应用二甲双胍治疗的基础上加入恩格列净的临床疗效及对糖脂代谢水平存在的影响.方法 选取2022年1月—2024年1月吉林省第一荣复军人医院收治的106例老年T2DM患者为研究对象,按照治疗方法不同分为常规组(二甲双胍治疗)、观察组(二甲双胍与恩格列净联合治疗),各53例.比较两组临床疗效、糖脂代谢水平.结果 观察组治疗总有效率高于常规组,差异有统计学意义(P<0.05).治疗前,两组糖脂代谢水平比较,差异无统计学意义(P均>0.05);治疗90 d后,观察组餐后2 h血糖、空腹血糖、糖化血红蛋白、总胆固醇、甘油三酯水平均低于常规组,差异有统计学意义(P均<0.05).结论 老年T2DM患者接受二甲双胍联合恩格列净治疗,临床疗效显著且糖脂代谢控制效果更佳.
Objective To explore the clinical efficacy of adding empagliflozin on the basis of metformin treatment in elderly patients with type 2 diabetes mellitus(T2DM)and its effect on glucose and lipid metabolism.Methods A total of 106 elderly patients with T2DM admitted to the First Rongfu Military Hospital of Jilin Province from January 2022 to January 2024 were selected as the research objects.According to different treatment methods,they were divided into the conventional group(metformin treatment)and the observation group(metformin combined with empagliflozin treatment),with 53 cases in each group.The clinical efficacy,glucose and lipid metabolism levels were compared be-tween the two groups.Results The total effective rate of the observation group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in glucose and lipid metabolism between the two groups(all P>0.05).After 90 days of treatment,the levels of 2-hour postprandial blood glucose,fasting blood glucose,glycated hemoglobin A1c,total cholesterol and triglycer-ide in the observation group were lower than those in the conventional group,and the differences were statistically significant(all P<0.05).Conclusion Metformin combined with empagliflozin has significant clinical efficacy and bet-ter control of glucose and lipid metabolism in elderly patients with T2DM.

Type 2 diabetes mellitusElderly patientsMetforminEmpagliflozinGlucose and lipid metabolism

宋洋洋、唐贺男、齐丹丹

展开 >

吉林省第一荣复军人医院药剂科,吉林 公主岭 136100

2型糖尿病 老年患者 二甲双胍 恩格列净 糖脂代谢

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(13)
  • 11