首页|恩替卡韦治疗乙型肝炎肝硬化伴肝源性糖尿病的临床应用效果

恩替卡韦治疗乙型肝炎肝硬化伴肝源性糖尿病的临床应用效果

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目的 探讨恩替卡韦治疗乙型肝炎肝硬化伴肝源性糖尿病的临床应用效果.方法 选取浙江省永康市第一人民医院于2015年6月~2016年12月期间收治的78例乙型肝炎肝硬化合并肝源性糖尿病患者作为研究对象,随机均分为研究组(n=39)和对照组(n=39).研究组在常规治疗基础上加用恩替卡韦,对照组在常规治疗基础上加用阿德福韦酯,2组乙型肝炎肝硬化合并肝源性糖尿病患者均连续治疗48 w,记录FPG、HOMA-β、HOMA-IR变化情况.结果 2组治疗前FPG、HOMA-β、HOMA-IR指标对比差异无统计学意义;治疗后2组FPG、HOMA-IR较治疗前显著下降,而HOMA-β则较治疗前显著上升,但研究组上述指标变化幅度均优于对照组(P<0.05).结论 恩替卡韦联合降糖药物治疗乙型肝炎肝硬化合并肝源性糖尿病可获得更为理想的血糖控制效果,有利于改善机体胰岛素抵抗及胰岛细胞功能.
Clinical efficacy of entecavir in the treatment of hepatitis B cirrhosis complicated with hepatic diabetes
Objective To investigate the clinical efficacy of entecavir in the treatment of hepatitis B cirrhosis associated with hepatic diabetes. Methods 78 cases of hepatitis B Hepatic Cirrhosis with diabetes were selectedfrom June 2015 to December 2016, and randomly divided into study group (n=39) and control group (n=39). The study group were treated with entecavir, the control group were treated with adefovir dipivoxil. Two groups of patients with hepatitis B cirrhosis combined with hepatic diabetes were treated continuously for 48 weeks, the changes of FPG, HOMA-β, beta and HOMA-IR were recorded. Results There was no significant difference between the two groups in the treatment of FPG, HOMA-β, and HOMA-IR. After treatment, the two groups of FPG and HOMA-IR decreased significantly compared with before treatment, while HOMA-β was significantly higher than before treatment, but the changes of the above indexes in the study group were better than those in the control group (P<0.05). Conclusion Entecavir combined with hypoglycemic agents can achieve more ideal blood glucose control effect in patients with hepatitis B cirrhosis combined with hepatic diabetes..

hepatitis B cirrhosishepatic diabetesentecavirCaveinsulin resistanceislet cell functionapplication effect

陈春娇、周晶

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浙江省永康市第一人民医院 感染科,浙江 永康 321300

乙型肝炎肝硬化 肝源性糖尿病 恩替卡韦 胰岛素抵抗 胰岛细胞功能 应用效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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