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利司那肽+达格列净治疗2型糖尿病的临床疗效分析

Analysis of Clinical Efficacy of Lixisenatide+Dapagliflozin in the Treat-ment of Type 2 Diabetes Mellitus

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目的 分析利司那肽、达格列净在2型糖尿病患者临床治疗中的效果.方法 选取2023年2月—2024年2月临沂市沂河新区相公中心医院收治的90例2型糖尿病患者为研究对象,按治疗方法的不同分为参比组、研究组,各45例.参比组行达格列净治疗,研究组行利司那肽+达格列净治疗.比较两组临床疗效、血糖水平、胰岛功能指标水平、不良反应发生率.结果 研究组治疗总有效率高于参比组,差异有统计学意义(P<0.05).相比于治疗前,治疗后两组空腹血糖、餐后2 h血糖以及糖化血红蛋白水平均降低,且研究组均低于参比组,差异有统计学意义(P均<0.05).相比于治疗前,治疗后两组胰岛素抵抗指数均降低,胰岛β细胞功能指数均升高,且研究组优于参比组,差异有统计学意义(P均<0.05).研究组不良反应发生率低于参比组,差异有统计学意义(P<0.05).结论 针对2型糖尿病患者采取利司那肽与达格列净联用治疗可有效改善患者血糖水平、胰岛功能,提高临床疗效,且安全性高.
Objective To analyze the effect of lixisenatide and dapagliflozin in the clinical treatment of patients with type 2 diabetes mellitus.Methods A total of 90 patients with type 2 diabetes mellitus admitted to Yihe New District Xianggong Central Hospital from February 2023 to February 2024 were selected as the research objects.According to the different treatment methods,they were divided into reference group and study group,45 cases in each group.The reference group was treated with dapagliflozin,and the study group was treated with lixisenatide+dapagliflozin.The clinical efficacy,blood glucose levels,islet function index levels,and incidence of adverse reactions in the two groups were compared.Results The total effective rate of treatment in the study group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Compared with before treatment,the levels of fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the two groups decreased after treatment,and those in the study group were lower than the reference group,the differences were statistically signifi-cant(all P<0.05).Compared with before treatment,the insulin resistance index of the two groups decreased after treat-ment,and the islet β cell function index increased,and the study group was better than the reference group,the differ-ences were statistically significant(both P<0.05).The incidence of adverse reactions in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion For patients with type 2 diabetes mellitus,the combination of lixisenatide and dapagliflozin can effectively improve the patient's blood glu-cose levels,islet function,improve clinical efficacy.

LixisenatideDapagliflozinType 2 diabetes mellitusClinical efficacy

周守霞

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临沂市沂河新区相公中心医院西药房,山东 临沂 276000

利司那肽 达格列净 2型糖尿病 临床疗效

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)