首页|达格列净联合二甲双胍治疗2型糖尿病的效果及安全性分析

达格列净联合二甲双胍治疗2型糖尿病的效果及安全性分析

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目的 观察2型糖尿病患者应用达格列净联合二甲双胍的疗效和安全性.方法 将2018年1月至2023年8月在天水市中医医院内分泌科治疗的60例2型糖尿病患者按随机数表法分为两组,对照组使用二甲双胍治疗,观察组使用达格列净联合二甲双胍治疗,比较两组的临床疗效、血糖及胰岛相关指标、炎性因子及氧化应激指标、不良反应.结果 观察组治疗总有效率高于对照组;治疗后观察组空腹状态及餐后2 h血糖、糖化血红蛋白、空腹胰岛素及胰岛素抵抗指数均低于对照组;治疗后观察组C反应蛋白、白细胞介素-6、同型半胱氨酸、丙二醛均低于对照组,差异均有统计学意义(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 达格列净联合二甲双胍治疗2型糖尿病的效果显著,能有效控制血糖,减轻胰岛素抵抗,降低炎症及氧化应激反应程度,且安全性高.
To observe the efficacy and safety of dagaglizin combined with metformin in patients with type 2 diabetes
Objective To investigate the efficacy and safety of Dapagliflozin combined with metformin in the treatment of type 2 diabetes mellitus.Methods A total of 60 patients with type 2 diabetes who were treated in the Department of Endocrinology of Tianshui Hospital of Traditional Chinese Medicine from January 2018 to August 2023 were randomly divided into two groups according to the method of random number table.The control group was treated with metformin,and the observation group was treated with Dapagliflozin combined with metformin.The clinical efficacy,blood glucose and pancreatic islet related indicators,inflammatory factors and oxidative stress indicators,and adverse reactions of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group.Fasting state and 2 h postprandial blood glucose,glycated hemoglobin,fasting insulin and insulin resistance index of observation group were lower than those of control group.After treatment,C-reactive protein,interleukin-6,homocysteine and malondialdehyde in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Dapagliflozin combined with metformin is effective in the treatment of type 2 diabetes.It can effectively control blood sugar,reduce insulin resistance,reduce inflammation and oxidative stress,and has high safety.

Type 2 diabetes mellitusDapagliflozinMetforminEfficacySafety

王捷

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甘肃省天水市中医医院内分泌科,甘肃天水 741000

2型糖尿病 达格列净 二甲双胍 效果 安全性

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(18)