首页|钠-葡萄糖协同转运蛋白2抑制剂(SGLT2i)达格列净对糖尿病肾病(DN)患者的治疗有效性研究

钠-葡萄糖协同转运蛋白2抑制剂(SGLT2i)达格列净对糖尿病肾病(DN)患者的治疗有效性研究

Efficacy of Sodium-dependent Glucose Transporters 2 Inhibitor(SGLT2i)Dapagliflozin in the Treatment of Diabetic Nephropathy(DN)

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目的 探究达格列净对糖尿病肾病(diabetic nephropathy,DN)患者的治疗有效性.方法 选取2023年1-12月巨野县北城医院收治的90例DN患者作为研究对象,以治疗方法的不同分为对照组与观察组,各45例.对照组采用依那普利治疗,观察组采用达格列净治疗.比较两组临床疗效、血糖指标(空腹血糖、餐后2 h血糖及糖化血红蛋白)、肾功能(尿素氮、血肌酐、尿微量白蛋白)及不良反应发生情况.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗后,两组各项血糖水平较治疗前均降低,且观察组均低于对照组,差异有统计学意义(P均<0.05).治疗后,两组各项肾功能水平均低于治疗前,且观察组均低于对照组,差异有统计学意义(P均<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论 达格列净治疗DN的效果较好,对血糖及肾功能改善明显,用药不良反应少,安全性较高.
Objective To explore the efficacy of dapagliflozin in the treatment of diabetic nephropathy(DN).Methods A total of 90 patients with DN admitted to Juye County Beicheng Hospital from January to December 2023 were se-lected as the research objects,and divided into control group and observation group according to different treatment methods,with 45 cases in each group.The control group was treated with enalapril,and the observation group was treated with dapagliflozin.The clinical efficacy,blood glucose indexes(fasting plasma glucose,2-hour postprandial plasma glucose and glycated hemoglobin A1c),renal function(urea nitrogen,serum creatinine,urinary microalbumin)and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the obser-vation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the blood glucose levels of the two groups were lower than those before treatment,and the observation group were lower than the control group,the differences were statistically significant(all P<0.05).After treatment,the renal function levels of the two groups were lower than those before treatment,and the observation group were lower than the control group,the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The effect of dapagliflozin in the treatment of DN is better,the improvement of blood glucose and renal function is obvious,the adverse drug reactions are less,and the safety is high.

DapagliflozinDiabetic nephropathyBlood glucoseRenal functionAdverse reaction

马士刚、侯云电、解璐璐

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巨野县北城医院肾内科,山东 菏泽 274900

达格列净 糖尿病肾病 血糖 肾功能 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(13)