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达格列净联合厄贝沙坦治疗糖尿病肾病的效果分析

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目的 分析在治疗糖尿病肾病时采用达格列净+厄贝沙坦的临床效果.方法 目的抽样法选取2022年3月—2023年9月临朐县人民医院收治的90例糖尿病肾病患者为研究对象.根据治疗方法不同,分为对照组和观察组,各45例.对照组单独使用厄贝沙坦治疗,观察组使用达格列净+厄贝沙坦治疗,比较两组患者血糖、肾功能各项指标水平,不良反应发生情况及治疗效果.结果 治疗后,观察组空腹血糖(5.52±0.41)mmol/L、餐后 2 h血糖(7.01±0.69)mmol/L、糖化血红蛋白(5.87±0.31)%低于对照组的(6.02±0.59)mmol/L、(7.92±0.67)mmol/L、(6.21±0.44)%,差异有统计学意义(t=4.668、6.347、4.237,P均<0.05).观察组肾功能指标优于对照组,差异有统计学意义(P均<0.05).观察组不良反应发生率低于对照组,治疗总有效率高于对照组,差异有统计学意义(P均<0.05).结论 对糖尿病肾病患者采用达格列净+厄贝沙坦联合治疗效果显著,可改善患者血糖及肾功能指标水平,且用药安全性较高.
Analysis of Therapeutic Effect of Daggligin Combined with Irbesartan on Diabetes Nephropathy
Objective To analyze the clinical effect of daggligin+irbesartan in the treatment of diabetes nephropathy.Methods Ninety patients with diabetes nephropathy who were admitted to Linqu County People's Hospital from March 2022 to September 2023 were selected by target sampling method.According to different treatment methods,the patients were divided into a control group and an observation group,with forty-five cases in each group.The con-trol group was treated with irbesartan alone,while the observation group was treated with dapagliflozin+irbesartan.The levels of blood glucose,renal function indicators,incidence of adverse reactions,and treatment efficacy were com-pared between the two groups of patients.Results After treatment,the fasting blood glucose(5.52±0.41)mmol/L,2-hour postprandial blood glucose(7.01±0.69)mmol/L,and glycated hemoglobin(5.87±0.31)% in the observation group were lower than(6.02±0.59)mmol/L,(7.92±0.67)mmol/L,and(6.21±0.44)% in the control group,and the differences were statistically significant(t=4.668,6.347,4.237,all P<0.05).The renal function indicators of the observation group were superior to those of the control group,and the differences were statistically significant(all P<0.05).The inci-dence of adverse reactions in the observation group was lower than that in the control group,and the total effective rate of treatment was higher than that in the control group,the differences were statistically significant(both P<0.05).Con-clusion The combined treatment of daggligin and irbesartan has a significant effect on patients with diabetes nephropa-thy,which can improve the levels of blood glucose and renal function indicators,and has a high drug safety.

Diabetes nephropathyDapagliflozinIrbesartan

刘燕、马海燕

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临朐县人民医院药剂科,山东 潍坊 262600

糖尿病肾病 达格列净 厄贝沙坦

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(15)