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降糖药物所致不良反应的影响因素研究

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目的:探讨降糖药物所致不良反应的影响因素。方法:回顾性分析2021年1月—2023年12月医院259例2型糖尿病患者临床资料,所有患者均接受降糖药物治疗,根据患者治疗期间是否发生不良反应将其分为发生组和未发生组。采用单因素、多因素Logistic回归分析降糖药物所致不良反应的影响因素。结果:259例患者中有76例发生不良反应,占比29。34%。76例不良反应累及多个系统-器官,最常见的为代谢性疾病,代谢性疾病中又以低血糖昏迷为主要临床表现。单因素分析显示,发生组和未发生组在年龄、饮酒史、伴随消化道疾病、用药依从性方面比较,差异有统计学意义(P<0。05)。经多因素Logistic回归分析显示,年龄、饮酒史、伴随消化道疾病、用药依从性为降糖药物所致不良反应的影响因素(OR>1,P<0。05)。结论:降糖药物所致不良反应与多种因素有关,包括年龄、饮酒史、伴随消化道疾病及用药依从性,临床可据此采取针对性干预措施,以改善2型糖尿病患者预后。
Study on the Influencing Factors of Adverse Reactions Caused by Hypoglycemic Drugs
Objective:To explore the influencing factors of adverse reactions caused by hypoglycemic drugs. Methods:The clinical data of 259 patients with type 2 diabetes mellitus in our hospital from January 2021 to December 2023 were retrospectively analyzed. All patients were treated with hypoglycemic drugs. According to whether adverse reactions occurred during treatment,they were divided into occurrence group and non-occurrence group. Univariate and multivariate Logistic regression analysis were used to analyze the influencing factors of adverse reactions caused by hypoglycemic drugs. Results:Among the 259 patients,76 patients had adverse reactions,accounting for 29.34%. And the adverse reactions involving multiple systems-organs,the most common for metabolic diseases,metabolic diseases and hypoglycemic coma as the main clinical manifestations. Univariate analysis showed that there were significant differences in age,drinking history,gastrointestinal diseases and medication compliance between the occurrence group and the non-occurrence group (P<0.05). Multivariate Logistic regression analysis showed that age,drinking history,accompanied gastrointestinal diseases and medication compliance were the influencing factors of adverse reactions caused by hypoglycemic drugs (OR>1,P<0.05). Conclusion:Adverse reactions caused by hypoglycemic drugs are related to a variety of factors,including age,drinking history,concomitant gastrointestinal diseases and medication compliance. Targeted interventions can be taken clinically to improve the prognosis of patients with type 2 diabetes mellitus.

Hypoglycemic drugsAdverse reactionsInfluence factor

王晓依、韩洁、陈慧慧、杨琤琤

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商丘市第一人民医院药学部,河南商丘 476000

降糖药物 不良反应 影响因素

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(11)