首页|甘精胰岛素联合盐酸二甲双胍及阿卡波糖治疗2型糖尿病的疗效及安全性

甘精胰岛素联合盐酸二甲双胍及阿卡波糖治疗2型糖尿病的疗效及安全性

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目的:探讨使用甘精胰岛素联合盐酸二甲双胍及阿卡波糖治疗2型糖尿病的临床效果.方法:本研究纳入2023年3月至2024年3月启东市妇幼保健院内科收治的100例2型糖尿病患者,将其随机分为两组.为对照组(50例)患者实施盐酸二甲双胍联合阿卡波糖进行治疗.为研究组(50例)患者实施甘精胰岛素联合盐酸二甲双胍及阿卡波糖进行治疗.对比两组患者治疗效果.结果:研究组患者治疗的总有效率、胰岛β细胞功能指数(HOMA-β)明显高于对照组(P<0.05).研究组患者空腹血糖(FBG)、餐后 2 h血糖(2 hPBG)、糖化血红蛋白(HbAlc)的水平、胰岛素抵抗指数(HOMA-IR)均明显低于对照组(P<0.05).两组患者不良反应的总发生率对比,差异无统计学意义(P>0.05).结论:使用甘精胰岛素联合盐酸二甲双胍及阿卡波糖治疗2型糖尿病的疗效较好.
Efficacy and safety of insulin glargine combined with metformin hydrochloride and acarbose in the treatment of type 2 diabetes
Objective:To explore the clinical effect of insulin glargine combined with metformin hydrochloride and acarbose in the treatment of type 2 diabetes.Methods:100 patients with type 2 diabetes who were admitted to Qidong Maternal and Child Health Hospital from March 2023 to March 2024 were included in the study,and they were randomly divided into two groups.The control group(50 cases)was treated with metformin hydrochloride combined with acarbose.The study group(50 cases)was treated with a combination of insulin glargine,metformin hydrochloride,and acarbose.The therapeutic effect of the two groups was compared.Results:After treatment,the total effective rate and islet β cell function index(HOMA-β)of the study group were significantly higher than those of the control group(P<0.05).The levels of fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPBG),glycated hemoglobin(HbAlc),and insulin resistance index(HOMA-IR)in the study group were significantly lower than those in the control group(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups of patients(P>0.05).Conclusion:Insulin glargine combined with metformin hydrochloride and acarbose works better in the treatment of type 2 diabetes.

Type 2 diabetesInsulin glargineMetformin hydrochlorideAcarbose

邵春花

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启东市妇幼保健院内科,江苏 启东 226299

2型糖尿病 甘精胰岛素 盐酸二甲双胍 阿卡波糖

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(4)