首页|甘精胰岛素联合阿卡波糖对老年糖尿病患者的临床效果及不良反应的影响

甘精胰岛素联合阿卡波糖对老年糖尿病患者的临床效果及不良反应的影响

Effect of Insulin Glargine Combined with Acarbose on Clinical Effect and Adverse Reactions in Elderly Patients with Diabetes Mellitus

扫码查看
目的 分析老年糖尿病患者使用甘精胰岛素与阿卡波糖联合治疗的效果及不良反应的影响.方法 选取2022年2月—2023年2月郯城县第一人民医院收治的94例老年糖尿病患者为研究对象,以治疗方法的不同分为两组,各47例.对照组给予甘精胰岛素治疗,研究组给予甘精胰岛素与阿卡波糖联合治疗.比较两组血糖水平、胰岛功能、不良反应发生情况.结果 治疗后,研究组空腹血糖、餐后2 h血糖及糖化血红蛋白水平低于对照组,差异有统计学意义(P均<0.05).治疗后,研究组胰岛素抵抗指数低于对照组,胰岛β细胞分泌指数高于对照组,差异有统计学意义(P均<0.05).研究组不良反应总发生率低于对照组,差异有统计学意义(P<0.05).结论 老年糖尿病患者使用甘精胰岛素与阿卡波糖联合治疗可获得良好疗效,不仅能控制血糖水平、提高胰岛功能,还能降低不良反应发生率.
Objective To analyze the effect of insulin glargine combined with acarbose in elderly diabetic patients and the effect on adverse reactions.Methods A total of 94 elderly patients with diabetes mellitus admitted to First People's Hospital of Tancheng from February 2022 to February 2023 were selected as the research objects,and they were divided into two groups according to different treatment methods,with 47 cases in each group.The control group was treated with insulin glargine,and the study group was treated with insulin glargine combined with acarbose.The blood glucose levels,islet function and adverse reactions were compared between the two groups.Results After treat-ment,the levels of fasting plasma glucose,2-hour postprandial plasma 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,the insulin resistance index of the study group was lower than that of the control group,and the insu-lin β cell secretion index of the study group was higher than that of the control group,and the differences were statisti-cally significant(both P<0.05).The total incidence of adverse reactions in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The combination of insulin glargine and acarbose in elderly patients with diabetes mellitus can achieve good curative effect,which can not only control blood glucose level,improve islet function,but also reduce the incidence of adverse reactions.

Elderly diabetesInsulin glargineAcarboseAdverse reactions

张金厚、李伟

展开 >

郯城县第一人民医院内分泌科,山东 临沂 276100

老年糖尿病 甘精胰岛素 阿卡波糖 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(14)
  • 15