首页|二甲双胍辅助治疗肺癌合并2型糖尿病患者的疗效及安全性分析

二甲双胍辅助治疗肺癌合并2型糖尿病患者的疗效及安全性分析

Efficacy and Safety of Metformin in Adjuvant Treatment of Lung Cancer Patients with Type 2 Diabetes

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目的 评价二甲双胍辅助治疗肺癌合并2型糖尿病患者的疗效及安全性.方法 回顾性选取2022年1月—2023年10月福建省肿瘤医院收治的60例2期肺癌合并2型糖尿病患者的临床资料,按照降糖治疗方案不同分为观察组、对照组,每组30例.观察组给予二甲双胍片联合化疗,对照组给予阿卡波糖片联合化疗,比较两组临床疗效、血糖水平、不良反应发生率.结果 观察组糖尿病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,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,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 使用二甲双胍治疗肺癌2期合并2型糖尿病患者的总有效率更高,血糖下降更加明显,且不良反应发生率无明显改变.
Objective To evaluate the efficacy and safety of metformin in patients with lung cancer with type 2 diabe-tes.Methods The clinical data of 60 patients with stage 2 lung cancer complicated with type 2 diabetes admitted to Fujian Cancer Hospital from January 2022 to October 2023 were retrospectively selected.According to different hypo-glycemic treatment schemes,they were divided into observation group and control group,with 30 cases in each group.The observation group was given metformin tablets combined with chemotherapy,and the control group was given acar-bose tablets combined with chemotherapy.The clinical efficacy,blood glucose level and incidence of adverse reac-tions were compared between the two groups.Results The total effective rate of diabetes treatment in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).After treatment,the levels of fasting plasma glucose,2-hour postprandial plasma glucose and glycated hemoglobin A1c in the obser-vation 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 The total effective rate of metformin in the treatment of patients with stage 2 lung cancer complicated with type 2 diabetes was higher,the decline of blood glucose was more obvious,and the incidence of adverse reactions did not change significantly.

MetforminType 2 diabetesLung cancer

林小青、陈美君、沈春梅

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福建省肿瘤医院药剂科,福建 福州 350000

二甲双胍 2型糖尿病 肺癌

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)
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