[1]高艳红,哈海枫,陈小军,等.甘精胰岛素联合瑞格列奈治疗老年2型糖尿病的临床效果[J].医学信息,2021,34(01):152-154.[doi:10.3969/j.issn.1006-1959.2021.01.041]
 GAO Yan-hong,HA Hai-feng,CHEN Xiao-jun,et al.Clinical Effect of Insulin Glargine Combined with Repaglinide in the Treatment of Elderly Type 2 Diabetes[J].Medical Information,2021,34(01):152-154.[doi:10.3969/j.issn.1006-1959.2021.01.041]
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甘精胰岛素联合瑞格列奈治疗老年2型糖尿病的临床效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年01期
页码:
152-154
栏目:
药物与临床
出版日期:
2021-01-01

文章信息/Info

Title:
Clinical Effect of Insulin Glargine Combined with Repaglinide in the Treatment of Elderly Type 2 Diabetes
文章编号:
1006-1959(2021)01-0152-03
作者:
高艳红哈海枫陈小军
(青海省交通医院内分泌科,青海 西宁 810000)
Author(s):
GAO Yan-hongHA Hai-fengCHEN Xiao-junet al.
(Department of Endocrinology,Qinghai Provincial TrafficHospital,Xining 810000,Qinghai,China)
关键词:
甘精胰岛素瑞格列奈老年2型糖尿病空腹血糖胰岛素
Keywords:
Insulin glargineRepaglinideElderly type 2 diabetesFasting blood glucoseInsulin
分类号:
R587.1
DOI:
10.3969/j.issn.1006-1959.2021.01.041
文献标志码:
A
摘要:
目的 探讨甘精胰岛素联合瑞格列奈治疗老年2型糖尿病的临床疗效。方法 选取我院2018年10月~2019年10月收治的124例患者,随机分为观察组(n=62)和对照组(n=62)。对照组采用诺和灵30R治疗,观察组采用甘精胰岛素联合瑞格列奈治疗。比较两组临床疗效、空腹血糖(FPG)、2h餐后血糖(2hPG)、糖化血红蛋白(HbA1c)等血糖指标水平及不良反应发生情况。结果 观察组临床有效率为96.77%,高于对照组的82.26%,差异有统计学意义(P<0.05);观察组血糖指标FPG、2hPG、HbA1c水平均低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率11.29%,低于对照组的27.42%,差异有统计学意义(P<0.05)。结论 甘精胰岛素联合瑞格列奈治疗老年2型糖尿病临床疗效显著,可有效控制机体血糖水平,减少机体糖化血红蛋白含量,充分发挥胰岛素功能,不良反应少,安全性高。
Abstract:
Objective To explore the clinical efficacy of insulin glargine combined with repaglinide in the treatment of elderly type 2 diabetes.Methods 124 patients admitted to our hospital from October 2018 to October 2019 were selected and randomly divided into observation group (n=62) and control group (n=62). The control group was treated with Novoline 30R, and the observation group was treated with insulin glargine combined with repaglinide. The clinical efficacy, fasting blood glucose (FPG), 2h postprandial blood glucose (2hPG), glycosylated hemoglobin (HbA1c) and other blood glucose indicators and the occurrence of adverse reactions were compared between the two groups.Results The clinical effective rate of the observation group was 96.77%, which was higher than 82.26% of the control group,the difference was statistically significant(P<0.05); the blood glucose indicators FPG,2hPG,and HbA1c levels of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05);The incidence of adverse reactions in the observation group was 11.29%,which was lower than 27.42% in the control group,the difference was statistically significant (P<0.05).Conclusion Insulin glargine combined with repaglinide has a significant clinical effect in the treatment of elderly type 2 diabetes.It can effectively control the body’s blood glucose level, reduce the body’s glycosylated hemoglobin content, and fully exert insulin function, with few adverse reactions and high safety.

参考文献/References:

[1]杨菊红,张立弋,常宝成,等.有恶性肿瘤病史的2型糖尿病患者的糖脂代谢及胰岛功能分析[J].中华糖尿病杂志,2018,10(6):404-409. [2]吴延莉,夏云婷,李剑虹,等.北京市朝阳区糖尿病患者糖尿病管理APP使用现状及影响因素研究[J].中国慢性病预防与控制,2019,27(5):331-335. [3]聂春燕,张越.健康教育对2型糖尿病病人生活习惯的影响[J].内蒙古医科大学学报,2017,39(S1):437-440. [4]徐晶,王晓峰.根除幽门螺杆菌对2型糖尿病患者血糖控制和机体微炎症反应的影响[J].安徽医药,2018,22(12):2400-2403. [5]罗晓琴,徐芳.基于跨理论模式的专项饮食健康教育对高龄2型糖尿病患者饮食控制及糖脂代谢和治疗依从性的影响[J].山西医药杂志,2018,47(24):3019-3021. [6]李婉妮.降糖舒片联合瑞格列奈治疗2型糖尿病的临床研究[J].现代药物与临床,2019,34(12):3696-3699. [7]李月红.甘精胰岛素联合瑞格列奈治疗2型糖尿病合并慢性肾功能不全的疗效分析[J].中国基层医药,2017,24(2):299-302. [8]陆再英,钟南山.内科学[M].人民卫生出版社(第7版),2008. [9]许一新,柏晓勇,彭丽,等.西格列汀与瑞格列奈分别联合甘精胰岛素治疗老年2型糖尿病的效果观察[J].中西医结合心脑血管病杂志,2015,13(17):1970-1971. [10]付娜.甘精胰岛素联合瑞格列奈治疗2型糖尿病的疗效观察[J].中国医院用药评价与分析,2016,16(4):494-496. [11]李丽,田增平.甘精胰岛素联合瑞格列奈治疗2型糖尿病临床疗效观察[J].中国继续医学教育,2018,10(23):108-109. [12]李彬,刘翠平.北京市朝阳区南部医疗联合体2型糖尿病患者降糖药物治疗情况调查[J].中华全科医师杂志,2019,18(9):892-896. [13]郭树龙,曾又晓,王少崖,等.谷赖胰岛素联合甘精胰岛素治疗口服降糖药物继发性失效的2型糖尿病的临床研究[J].中国临床药理学杂志,2017,33(23):2361-2363,2386. [14]常瑾.瑞格列奈联合甘精胰岛素对2型糖尿病患者胰岛素分泌及胰岛β细胞功能的影响[J].慢性病学杂志,2017,18(10):1139-1141. [15]相秀英,王淑文.瑞格列奈联合拜唐苹治疗2型糖尿病临床研究[J].现代中西医结合杂志,2016,22(23):2550-2552. [16]路现锋.甘精胰岛素联合瑞格列奈对老年2型糖尿病的应用效果[J].中国继续医学教育,2019,11(11):144-146.

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更新日期/Last Update: 1900-01-01