首页|达格列净联合二甲双胍治疗2型糖尿病的疗效分析

达格列净联合二甲双胍治疗2型糖尿病的疗效分析

Efficacy Analysis of Dapagliflozin Combined with Metformin in the Treat-ment of Type 2 Diabetes Mellitus

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目的 探讨达格列净联合二甲双胍治疗2型糖尿病(type 2 diabetes mellitus,T2DM)的疗效.方法 选取2021年4月—2023年11月淄博市淄川区中医院收治的224例2型糖尿病患者,按治疗方法的不同分为观察组、对照组,每组112例.观察组接受达格列净和二甲双胍联合治疗,对照组仅给予二甲双胍治疗.对比两组临床疗效、血糖指标以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,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).治疗后,观察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 达格列净联合二甲双胍治疗T2DM具有显著的临床疗效,能够有效控制患者血糖水平,并减少不良反应的发生.
Objective To investigate the efficacy of dapagliflozin combined with metformin in the treatment of type 2 diabetes mellitus(T2DM).Methods A total of 224 patients with T2DM treated in Zichuan District Hospital of Tradi-tional Chinese Medicine from April 2021 to November 2023 were selected and divided into observation group and con-trol group according to different treatment methods,with 112 patients in each group.The observation group was treated with dapagliflozin and metformin,while the control group was treated with metformin only.The clinical effi-cacy,blood glucose indexes and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statis-tically significant(P<0.05).After treatment,the levels of fasting plasma glucose,2-hour postprandial plasma glucose and glycated hemoglobin A1c in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the total incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion The combi-nation of dapagliflozin and metformin in the treatment of T2DM has significant clinical efficacy,effectively controls blood glucose levels,and reduces the incidence of adverse reactions.

Type 2 diabetes mellitusDapagliflozinMetformin

孙培培、于慧玲

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淄博市淄川区中医院内二科,山东 淄博 255100

2型糖尿病 达格列净 二甲双胍

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(15)