首页|GLP-1RA联合SGLT2i治疗超重/肥胖T2DM患者的效果及安全性研究

GLP-1RA联合SGLT2i治疗超重/肥胖T2DM患者的效果及安全性研究

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目的 探究胰高血糖素样肽-1受体激动剂(glucagon-like peptide-1 receptor agonist,GLP-1RA)联合钠-葡萄糖协同转运蛋白2抑制剂(sodium-glucose transporter 2 inhibitors,SGLT2i)治疗超重/肥胖2型糖尿病(type 2 diabetes mellitus,T2DM)患者的效果及安全性.方法 非随机选取2020年3月—2022年5月肇庆市第二人民医院收治的62例超重/肥胖T2DM患者作为研究对象,按照治疗方法的不同分成两组,各31例.对照组接受SGLT2i治疗,研究组接受GLP-1RA联合SGLT2i治疗,对比两组血糖指标、体重指数、治疗效果、不良反应发生情况.结果 研究组的血糖水平和体重指数均低于对照组,差异有统计学意义(P均<0.05).研究组治疗有效率为96.8%(30/31),优于对照组的77.4%(24/31),差异有统计学意义(χ2=4.897,P<0.05).研究组的不良反应总发生率与对照组对比,差异无统计学意义(P>0.05).结论 超重/肥胖T2DM患者应用GLP-1RA联合SGLT2i治疗,可以大幅度降低机体的血糖水平与体重指数,且不增加不良反应,治疗效果显著.
The Efficacy and Safety of GLP-1RA Combined with SGLT2i in the Treat-ment of Overweight/Obese T2DM Patients
Objective Exploring the efficacy and safety of glucagon-like peptide-1 receptor agonist(GLP-1RA)com-bined with sodium-glucose transporter 2 inhibitors(SGLT2i)in the treatment of overweight/obese type 2 diabetes mel-litus(T2DM)patients.Methods A total of sixty-two overweight/obese T2DM patients admitted to the Second People's Hospital of Zhaoqing from March 2020 to May 2022 were non-randomly selected as the research objects and divided into two groups according to different treatment methods,with thirty-one cases in each group.The control group was treated with SGLT2i,and the study group was treated with GLP-1 RA combined with SGLT2i.Compared the two groups of blood glucose index,body mass index,treatment effect,and the occurrence of adverse reactions.Results The blood glucose index,body mass index,therapeutic effect and adverse reactions were compared between the two groups.The blood glucose level and BMI in the study group were lower than those in the control group,and the differ-ences were statistically significant(both P<0.05).The effective rate of treatment in the study group was 96.8%(30/31),which was better than 77.4%(24/31)in the control group,and the difference was statistically significant(χ2=4.897,P<0.05).There was no significant difference in the total incidence of adverse reactions between the study group and the control group(P>0.05).Conclusion The application of GLP-1RA combined with SGLT2i in the treatment of over-weight/obese T2DM patients can greatly reduce the body's blood glucose level and body mass index,without increas-ing adverse reactions and therapeutic effects.

Glucagon-like peptide-1 receptor agonistSodium-glucose transporter 2 inhibitorsOverweightObesityType 2 diabetes mellitusSecurity

龙杰文、卢燕红、谢明

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肇庆市第二人民医院内分泌血液科,广东 肇庆 526000

胰高血糖素样肽-1受体激动剂 钠-葡萄糖协同转运蛋白2抑制剂 超重 肥胖 2型糖尿病 安全性

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(22)