首页|探究门冬胰岛素联合二甲双胍治疗糖尿病的临床效果

探究门冬胰岛素联合二甲双胍治疗糖尿病的临床效果

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目的 探究门冬胰岛素联合二甲双胍治疗糖尿病的临床效果.方法 98 例糖尿病患者,随机分为对照组和观察组,每组 49 例.对照组使用门冬胰岛素进行治疗,观察组使用门冬胰岛素联合盐酸二甲双胍肠溶片治疗.比较两组患者治疗前后的血糖[空腹血糖(FBG)、糖化血红蛋白(HbA1c)、胰岛素抵抗指数(HOMA-IR)]水平及用药依从性、患者满意度.结果 观察组治疗后的FBG(6.29±1.31)mmol/L、HbA1c(6.13±1.46)%、HOMA-IR(2.19±1.13)均低于对照组患者的(7.39±1.85)mmol/L、(7.21±1.56)%、(2.69±1.01),差异具有统计学意义(P<0.05).观察组用药总依从率高于对照组,差异具有统计学意义(P<0.05).观察组总满意率高于对照组,差异具有统计学意义(P<0.05).结论 门冬胰岛素联合二甲双胍治疗糖尿病有积极作用,可以显著改善患者血糖水平,提高患者用药依从性和满意度,对于患者病情康复起着重要作用,值得在临床上推广和应用.
Clinical effect of insulin aspart combined with metformin in the treatment of diabetes
Objective To explore the clinical effect of insulin aspart combined with metformin in the treatment of diabetes.Methods 98 patients with diabetes were randomly divided into a control group and an observation group,each consisting of 49 patients.The control group was treated with insulin aspart,and the observation group was treated with insulin aspart combined with metformin hydrochloride enteric-coated tablets.Patients in both groups were compared in terms of blood glucose[fasting plasma glucose(FBG),glycosylated hemoglobin(HbA1c),homeostasis model assessment-insulin resistance index(HOMA-IR)]level,medication compliance and patient satisfaction.Results After treatment,the observation group had FBG of(6.29±1.31)mmol/L,HbA1c of(6.13±1.46)%and HOMA-IR of(2.19±1.13),which were lower than(7.39±1.85)mmol/L,(7.21±1.56)%and(2.69±1.01)in the control group,and the difference was statistically significant(P<0.05).The overall medication compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The overall satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Insulin aspart combined with metformin has positive effect on diabetes.It can significantly improve the blood glucose level of patients,improve their medication compliance and satisfaction.It plays an important role in the rehabilitation of patients and is worth promoting and applying in clinical practice.

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李杰

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257055 东营市中医院肾内内分泌科

门冬胰岛素 二甲双胍 糖尿病 效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(22)