首页|格列吡嗪控释片对新发2型糖尿病伴非酒精性脂肪肝病患者调脂效果及安全性的影响研究

格列吡嗪控释片对新发2型糖尿病伴非酒精性脂肪肝病患者调脂效果及安全性的影响研究

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目的 探讨格列吡嗪控释片对新发2型糖尿病(T2DM)伴非酒精性脂肪肝病(NAFLD)患者调脂效果及安全性的影响.方法 选择2014年9月~2016年4月杭州师范大学附属医院收治的84例新发T2DM伴NAFLD患者为研究对象,随机分成对照组(n=42)与研究组(n=42),对照组给予二甲双胍治疗,研究组给予格列吡嗪控释片治疗,对2组临床疗效、治疗前后的空腹血糖值(FPG)、餐后2 h血糖值(2 hPG)、总胆固醇(TC)、甘油三酯(TG)、胰岛素抵抗指数(HOMA-IR)及不良反应做分析对比.结果 研究组治疗总有效率高于对照组相,差异具有统计学意义(P<0.05);治疗6个月后,2组患者FPG、2 hPG、TC、TG及HOMA-IR均明显下降,研究组TC、TG下降幅度更大,上述差异均具有统计学意义(P<0.05);研究组不良反应发生率(4.76%)与对照组(7.14%)相比差异无统计学意义.结论 采用格列吡嗪控释片治疗新发T2DM伴NAFLD疗效确切,可有效降血糖、血脂,同时降低胰岛素抵抗,安全性高.
Effects of glipizide controlled release tablets on lipid regulation and safety in patients with new type 2 diabetes mellitus and nonalcoholic fatty liver disease
Objective To investigate the effect of glipizide controlled release tablets on the lipid-lowering effect and safety of newly diagnosed type 2 diabetes mellitus (T2DM) with nonalcoholic fatty liver disease (NAFLD). Methods 48 patients with newly diagnosed T2DM with NAFLD were enrolled in the affiliated hospital of Hangzhou normal university from September 2014 to April 2016. They were randomly divided into the control group (n=42) and the study group (n=42). The control group was treated with metformin (FPG), 2-hour postprandial blood glucose (2 hPG), total cholesterol (TC), triglyceride (TG), and total cholesterol (TC), triglyceride (TG) ), insulin resistance index (HOMA-IR) and adverse reactions were analyzed and compared. Results The total effective rate of the study group was higher than that of the control group (P<0.05). After 6 months of treatment, FPG, 2 hPG, TC, TG and HOMA-IR were significantly decreased in the study group (P<0.05). There was no significant difference in the incidence of adverse reactions (4.76%) between the study group and the control group (7.14%).There was no significant difference between the two groups. Conclusion The treatment of new T2DM with NAFLD with glipizide controlled-release tablets could be effectively reduce blood glucose, blood lipids and insulin resistance with high safety.

glipizidenew type 2 diabetes mellitusnonalcoholic fatty liverlipid regulating effectsafety

杨燕丽、臧淑妃

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杭州师范大学附属医院 内分泌科,浙江 杭州 310015

格列吡嗪 新发2型糖尿病 非酒精性脂肪肝 调脂效果 安全性

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(11)
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