首页|司美格鲁肽治疗肥胖2型糖尿病患者的临床效果分析

司美格鲁肽治疗肥胖2型糖尿病患者的临床效果分析

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目的 探讨司美格鲁肽应用于肥胖2型糖尿病患者治疗中的临床效果.方法 选取2022年2月—2023年8月在本院接受治疗的100例肥胖2型糖尿病患者为研究对象,随机将其分为对照组和实验组,每组50例.对照组采用二甲双胍治疗,实验组在前者的基础上配合司美格鲁肽进行治疗干预,观察并对比两组患者干预前后2个月的血糖、血脂、体重、SBP、DBP、TG、TC指标.结果 干预前,两组患者空腹血糖、餐后2h血糖、HbAlc、HOMA-IR、HOMA-β相比,差异无统计学意义(P>0.05);干预后,与对照组相比,实验组的空腹血糖、餐后2h血糖、HbAlc、HOMA-IR显著较低,HOMA-β显著较高,组间差异具有统计学意义(P<0.05).实验组干预后的BIM、SBP、DBP、TG、TC显著低于对照组,差异有统计学意义(P<0.05).结论 司美格鲁肽不仅对2型糖尿病患者有明显的降糖作用,还能够改善患者的体重、血脂和血压指标.
Clinical Effect Analysis of Smeglutide in Treatment of Obese Type 2 Diabetes
Objective To investigate clinical effect of smeglutide in treatment of obese type 2 diabetes.Methods The paper chose 100 obese patients with type 2 diabetes in our hospital from February 2022 to August 2023,and divided them into 50 cases in control group and 50 cases in experimental group randomly.The former was treated with metformin,while the latter with sitagliptin on the basis of the former.Blood glucose,lipid,body weight,SBP,DBP,TG,and TC indicators were observed and compared between two groups before and after intervention for 2 months.Results Fasting blood glucose before intervention,2-hour postprandial blood glucose,HbAlc,HOMA-IR,HOMA-β in both groups was compared,difference was not statistically significant(P>0.05).Experimental group had significantly lower fasting blood glucose,2-hour postprandial blood glucose,HbAlc,HOMA-IR,and significantly higher HOMA-β than control group,with statistically significant difference(P<0.05).After intervention,the BIM,SBP,DBP,TG,and TC of experimental group was significantly lower than control group,with statistical significance(P<0.05).Conclusion Smeglutide can achieve obvious hypoglycemic effect on type 2 diabetes patients,can improve weight,blood lipid and blood pressure indicators of patients.

SmegglutideObesityType 2 diabetesAdverse reactions

李晶、古惠钧

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广州市海珠区瑞宝街社区卫生服务中心,广东 广州 510288

司美格鲁肽 肥胖 2型糖尿病 不良反应

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(18)