首页|度拉糖肽联合达格列净治疗2型糖尿病合并冠心病的效果

度拉糖肽联合达格列净治疗2型糖尿病合并冠心病的效果

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目的 分析2型糖尿病合并冠状动脉粥样硬化性心脏病(简称冠心病)行达格列净+度拉糖肽治疗的价值.方法 选取盘州市人民医院于2023年2月—2024年2月收治的72例2型糖尿病合并冠心病患者为研究对象,依据掷骰子法分为单药组、联合组,每组36例,单药组行度拉糖肽治疗,联合组加用达格列净,比较两组患者的炎症指标、血糖指标、心血管事件发生率及生活质量评分.结果 治疗前,两组炎症指标和血糖指标比较,差异无统计学意义(P均>0.05);治疗后联合组上述指标优于单药组,差异有统计学意义(P均<0.05).联合组心血管事件总发生率为2.78%,低于单药组的19.44%,差异有统计学意义(χ2=5.063,P=0.024).治疗前两组生活质量评分比较,差异无统计学意义(P>0.05);治疗后联合组生活质量评分高于单药组,差异有统计学意义(P<0.05).结论 度拉糖肽+达格列净可增强心脑血管事件的防控效果,使患者血糖得到精准控制,改善炎症问题,提高2型糖尿病并冠心病患者的生活质量.
Efficacy of Dulotide Combined with Dagliprazin in the Treatment of Type 2 Diabetes Mellitus Complicated with Coronary Heart Disease
Objective To analyze the value of dapagliflozin+dulotide therapy in patients with type 2 diabetes melli-tus and coronary heart disease.Methods A total of 72 patients with type 2 diabetes mellitus complicated with coro-nary heart disease admitted to Panzhou People's Hospital from February 2023 to February 2024 were selected as the research objects.According to the dice method,they were divided into single drug group and combined group,with 36 cases in each group.The single drug group was treated with dulaglutide,and the combined group added dapagliflozin for treatment.The levels of inflammatory indexes,blood glucose indexes,incidence of cardiovascular events and qual-ity of life scores were compared between the two groups.Results There were no significant differences in the levels of inflammation index and blood glucose index between the two groups before treatment(both P>0.05).After treatment,the above indexes of the combined group were better than those of the single drug group,and the differences were sta-tistically significant(both P<0.05).The total incidence of cardiovascular events in the combined group was 2.78%,which was lower than 19.44%in the single drug group,and the difference was statistically significant(χ2=5.063,P=0.024).There was no significant difference in quality of life score between the two groups before treatment(P>0.05).After treatment,the quality of life score of the combined group was higher than that of the single drug group,and the difference was statistically significant(P<0.05).Conclusion Dulotide+dapagliflozin can enhance the prevention and control effect of cardiovascular and cerebrovascular events,enable patients to accurately control blood glucose,im-prove inflammation,and improve the quality of life of patients with type 2 diabetes and coronary heart disease.

DapagliflozinCoronary heart diseaseQuality of lifeDulotideIndicators of inflammationType 2 diabetes

毕真英、胡芸

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盘州市人民医院药学部,贵州盘州 553537

达格列净 冠心病 生活质量 度拉糖肽 炎症指标 2型糖尿病

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(9)