首页|二甲双胍恩格列净使用剂量对2型糖尿病治疗效果和不良反应的影响

二甲双胍恩格列净使用剂量对2型糖尿病治疗效果和不良反应的影响

Effect of Metformin Empagliflozin Dose on the Therapeutic Effect and Ad-verse Reactions of Type 2 Diabetes Mellitus

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目的 探讨2型糖尿病患者采用不同剂量二甲双胍恩格列净治疗的临床效果.方法 回顾性选取2022年1月—2023年1月单县中心医院收治的124例2型糖尿病患者的临床资料,根据患者的治疗方案的不同将其分为对照组(n=62,采用0.5 g/次的二甲双胍+5 mg/次的恩格列净治疗)与研究组(n=62,采用1.0 g/次的二甲双胍+10 mg/次的恩格列净治疗).对比两组治疗总有效率、血糖水平、胰岛功能、体重指数、不良反应发生率.结果 两组治疗总有效率比较,差异无统计学意义(P>0.05).治疗后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组,差异有统计学意义(P均<0.05).研究组空腹胰岛素、胰岛素抵抗指数、体重指均数低于对照组,差异有统计学意义(P均<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 在2型糖尿病治疗中使用1.0 g/次的二甲双胍与10 mg/次的恩格列净效果更为显著,能够在短时间内改善血糖水平,调节血脂代谢,在控制体重方面更具优势,且安全性较高.
Objective To explore the clinical effect of different doses of metformin empagliflozin in patients with type 2 diabetes mellitus.Methods The clinical data of 124 patients with type 2 diabetes mellitus admitted to Shanxian Central Hospital from January 2022 to January 2023 were retrospectively selected.According to the different treat-ment options,the patients were divided into control group(n=62,treated with 0.5 g/time of metformin+5 mg/time of empagliflozin)and study group(n=62,treated with 1.0 g/time of metformin+10 mg/time of empagliflozin).The total ef-fective rate,blood glucose levels,islet function,body mass index and incidence of adverse reactions were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups(P>0.05).After treatment,the 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).The fasting insulin,insulin resistance index and body mass index in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion In the treatment of type 2 diabetes mellitus,the use of 1.0 g/time of metformin and 10 mg/time of empagliflozin is more effective,which can improve blood glucose levels in a short period of time,regulate blood lipid metabolism,and have more advantages in weight control and higher safety.

Type 2 diabetes mellitusMetforminEmpagliflozinFasting insulinAdverse reaction

许涵、王红、张婷婷

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单县中心医院内分泌科,山东 菏泽 274300

2型糖尿病 二甲双胍 恩格列净 空腹胰岛素 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)