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达格列净和磷酸西格列汀片治疗2型糖尿病的效果

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目的:评估联合使用达格列净和磷酸西格列汀片治疗2型糖尿病患者的效果。方法:将 2019 年 1 月—2023 年12 月和县人民医院收治的 60 例 2 型糖尿病患者根据不同治疗方式分为对照组(n=28)和试验组(n=32)。对照组采用达格列净联合盐酸二甲双胍缓释片治疗,试验组则采用达格列净联合磷酸西格列汀片治疗。两组均进行 12 周治疗,比较两组临床效果、血糖水平、体重指数(BMI)、胰岛β细胞功能、血脂水平及不良反应。结果:治疗后,试验组总有效率为90。63%,高于对照组的 67。86%,差异有统计学意义(P<0。05)。两组治疗后血糖水平、BMI、胰岛β细胞功能及血脂水平相较于治疗前均有显著改善,且试验组空腹血糖(FPG)、餐后 2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)、BMI、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、胰岛素抵抗指数(HOMA-IR)水平均低于对照组,而高密度脂蛋白胆固醇(HDL-C)、胰岛β细胞分泌指数(HOMA-β)水平均高于对照组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:联合使用达格列净和磷酸西格列汀片作为 2 型糖尿病治疗方案,可改善血糖控制和胰岛β细胞功能,而且具有良好的安全性。
Efficacy of Dapagliflozin and Sitagliptin Phosphate Tablets in Patients with Type 2 Diabetes
Objective:To evaluate the efficacy of Dapagliflozin and Sitagliptin Phosphate Tablets in the treatment of patients with type 2 diabetes.Method:Sixty patients with type 2 diabetes admitted to the He County People's Hospital from January 2019 to December 2023 were divided into control group(n=28)and the experimental group(n=32)according to different treatment methods.The control group was treated with Dagaglipzin combined with Metformin Hydrochloride Sustained-release Tablets,and the experimental group was treated with Dagaglipzin combined with Sitagliptin Phosphate Tablets.Both groups were treated for 12 weeks,and the clinical effect,blood glucose level,body mass index(BMI),islet β cell function,lipid level and adverse reactions were compared between the two groups.Result:After treatment,the total effective rate of experimental group was 90.63%,which was higher than 67.86%of control group,and the difference was statistically significant(P<0.05).After treatment,blood glucose level,BMI,islet β cell function and blood lipid level in both groups were significantly improved compared with those before treatment,fasting plasma glucose(FPG),2 h postprandial blood glucose(2 h PG),glycated hemoglobin(HbA1c),BMI,total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C)and insulin resistance index(HOMA-IR)levels of the experimental group were lower than those of the control group,the levels of high density lipoprotein cholesterol(HDL-C)and islet β cell secretion index(HOMA-β)were higher than those of control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of Dagliprazin and Sitagliptin Phosphate Tablets as a treatment for type 2 diabetes,improves glycemic control and islet beta cell function,with a good safety profile.

DapagliflozinSitagliptin phosphate tabletsType 2 diabetesAdverse reactions

王世东、包天龙

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和县人民医院 安徽 和县 238200

达格列净 磷酸西格列汀片 2型糖尿病 不良反应

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(19)