首页|司美格鲁肽联合达格列净、二甲双胍在肥胖型糖尿病患者中的疗效分析

司美格鲁肽联合达格列净、二甲双胍在肥胖型糖尿病患者中的疗效分析

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目的 探究肥胖型糖尿病患者中,联合应用司美格鲁肽、达格列净、二甲双胍的价值。方法 选取河南科技大学第一附属医院 2021 年 10 月至 2023 年 10 月期间收治的 90 例糖尿病患者作为研究样本,以随机数字表法将其分为研究组(n=45,司美格鲁肽+达格列净+二甲双胍)、对照组(n=45,达格列净+二甲双胍),比较两组不良反应、疾病指标情况、生活质量及胰岛β细胞功能。结果 治疗后,两组不良反应发生率比较,差异无统计学意义(P>0。05);治疗前,两组疾病指标、生活质量评分差异无统计学意义(P>0。05),治疗后,研究组各项疾病指标水平及生活质量评分均优于对照组,差异有统计学意义(P<0。05);治疗前后,两组胰岛β细胞功能比较,差异无统计学意义(P>0。05),但相较于治疗前,治疗后两组指标均获得改善,差异有统计学意义(P<0。05)。结论 肥胖型糖尿病患者应用达格列净、二甲双胍治疗的基础上联合应用司美格鲁肽,能够提升疗效,改善其血糖血脂水平以及体重情况,提升患者生活质量,安全性较高,具有临床应用意义。
Efficacy Analysis of Semaglutide Combined with Dapagliflozin and Metformin in Obese Patients with Diabetes
Objective To explore the value of combined application of semaglutide,dapagliflozin,and metformin in obese patients with diabetes.Methods Ninety diabetic patients admitted to the First Affiliated Hospital of Henan University of Science and Technology from October 2021 to October 2023 were selected as the research sample.They were randomly divided into a study group(n=45,semaglutide+dapagliflozin+metformin)and a control group(n=45,dapagliflozin+metformin)using a random number table method.The adverse reactions,disease indicators,quality of life,and islet β-cell function were compared between the two groups.Results After treatment,there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Before treatment,there were no statistically significant differences in disease indicators and quality of life scores between the two groups(P>0.05).After treatment,the levels of disease indicators and quality of life scores in the study group were better than those in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in islet β-cell function between the two groups before and after treatment(P>0.05),but compared with before treatment,the indicators in both groups improved after treatment,with statistically significant differences(P<0.05).Conclusion The combined application of semaglutide on the basis of dapagliflozin and metformin treatment in obese patients with diabetes can enhance efficacy,improve blood glucose and lipid levels,and weight conditions,and improve patients'quality of life.It has high safety and clinical application significance.

semaglutideobese diabetesdapagliflozinmetforminquality of life

逯海波、马瑜瑾、李利平、刘艺丹、李哲、姜宏卫

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河南科技大学临床医学院,河南科技大学第一附属医院 内分泌代谢中心,河南省罕见病重点实验室,洛阳市临床多组学与转化医学重点实验室,河南 洛阳 471003

司美格鲁肽 肥胖型糖尿病 达格列净 二甲双胍 生活质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(10)