首页|二甲双胍联合达格列净对急性胸痛合并2型糖尿病患者的降糖及心血管保护效果的研讨

二甲双胍联合达格列净对急性胸痛合并2型糖尿病患者的降糖及心血管保护效果的研讨

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目的 探讨在二甲双胍基础上加用达格列净对急性胸痛合并2型糖尿病(T2DM)患者的降糖疗效及心血管保护效果。方法 选取2022年1月—2023年8月本院收治的2型糖尿病合并急性胸痛患者100例,随机分为试验组(二甲双胍+达格列净,n=50)和参照组(二甲双胍+达格列净以外的其他口服降糖药,n=50)。对各组的治疗效果进行评价。结果 治疗后,试验组血压、糖化血红蛋白、心功能、NT-ProBNP等指标均比参照组优异(P<0。05)。结论 急性胸痛合并2型糖尿病病人治疗过程中,应用二甲双胍联合达格列净方案,能够降低患者心血管不良事件的发生率,并且还可调节糖脂代谢异常,利于保护心血管。
Study on Hypoglycemic and Cardiovascular Protective Effect of Metformin Combined with Dapagliflozin for Patients with Acute Chest Pains and Type 2 Diabetes
Objective To investigate the hypoglycemic and cardiovascular protective effect of dapagliflozin on the basis of metformin for patients with acute chest pains (in the paper,acute chest pain refers to chest pains caused by myocardial ischemia,hypoxia or necrosis) and type 2 diabetes (T2DM). Methods The paper chose 100 patients with type 2 diabetes combined with acute chest pains met research criteria in Boluo County People's Hospital from January 2022 to August 2023,treated with routine drugs,and divided them into the metformin+dapagliflozin group (the experimental group,n=50) and oral hypoglycemic drug group other than metformin+dapagliflozin (the reference group,n=50) randomly. Curative effect of each group was evaluated. Results After treatment,blood pressure,glycosylated hemoglobin,cardiac function,NT ProBNP and other indicators in the test experimental were better than the reference group (P<0.05). Conclusion During treatment of patients with acute chest pains and type 2 diabetes,combination of metformin and dapagliflozin can reduce incidence of cardiovascular adverse events,regulate abnormal glucose and lipid metabolism of patients,which is conducive to cardiovascular protection.

Type 2 diabetesAcute chest painsDapagliflozinMetformin

朱懿中、陈月嫦、宏峰

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博罗县人民医院临床药学室,广东 博罗 516100

2型糖尿病 急性胸痛 达格列净 二甲双胍

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(29)