达格列净对 2 型糖尿病患者胰岛素 抵抗、血脂及 Hcy 的影响
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(江门市新会区第二人民医院,广东 江门 529100)

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梁伟华,男,副主任医师,主要从事糖尿病、心脑血管的诊断和治疗工作。

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R 587.1

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Effect of Dagliejing on Insulin Resistance, Blood Lipid and Hcy in patients with type 2 Diabetes Mellitus
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(The Second People's Hospital of Xinhui District of Jiangmen City, Guangdong Jiangmen 529100)

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    摘要:

    〔摘 要〕 目的:探讨达格列净应用于 2 型糖尿病治疗中对胰岛素抵抗、血脂水平及同型半胱氨酸(Hcy)水平的影响。 方法:选取江门市新会区第二人民医院 2020 年 1 月至 2021 年 4 月期间收治的 200 例 2 型糖尿病患者,按照随机数字表法 分成观察组与对照组,各 100 例。对照组采用常规药物治疗,观察组采用达格列净治疗,对两组患者胰岛素抵抗、血脂水 平、Hcy 水平进行比较。结果:治疗前两组患者的胰岛 β 细胞功能指数(HOMA–β)、胰岛素抵抗指数(HOMA–IR)比 较,差异无统计学意义(P > 0.05);治疗后两组患者的 HOMA–β 有不同程度提高,HOMA–IR 有不同程度下降,且观察 组的 HOMA–β 高于对照组,HOMA–IR 低于对照组,差异具有统计学意义(P < 0.05)。治疗前两组患者的高密度脂蛋白 胆固醇(HDL–C)、低密度脂蛋白胆固醇(LDL–C)、总胆固醇(TC)比较,差异无统计学意义(P > 0.05);治疗后两 组患者的 HDL–C 均有不同程度的提高,LDL–C、TC 有不同程度的下降,且观察组的 HDL–C 高于对照组,LDL–C、TC 低 于对照组,差异具有统计学意义(P < 0.05)。治疗前两组患者的同型半胱氨基酸(Hcy)水平比较,差异无统计学意义 (P > 0.05);治疗后两组患者的 Hcy 均有不同程度下降,且观察组低于对照组,差异具有统计学意义(P < 0.05)。结论: 达格列净应用于 2 型糖尿病治疗中可改善患者胰岛素抵抗、血脂水平及 Hcy 水平。

    Abstract:

    〔Abstract〕 Objective To explore the effects of Dagliejing on insulin resistance, blood lipid level and homocysteine (Hcy) intype 2 diabetes mellitus. Methods 200 patients with type 2 diabetes from January 2020 to June 2021 in Xinhui District Second People's Hospital of Jiangmen were selected and divided into observation group and control group according to random number table, 100 cases in each group. The control group was treated with conventional drugs and the observation group was treated with Dagliejing. The insulin resistance, blood lipid level and Hcy level of the two groups were compared. Results the islets of the two groups before treatment β Cell function index (HOMA – β). There was no significant difference in insulin resistance index (HOMA-IR) (P > 0.05) β HOMA – IR increased in varying degrees, HOMA – IR decreased in varying degrees, and HOMA – β Compared with the control group, HOMA-IR was lower than the control group, the difference was statistically significant (P < 0.05); there was no significant difference in high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and total cholesterol (TC) between the two groups before treatment (P > 0.05) After treatment, HDL-C of the two groups increased in varying degrees, LDL-C and TC decreased in varying degrees, and HDL-C of the observation group was higher than that of the control group, LDL-C and TC were lower than that of the control group, the difference was statistically significant (P < 0.05); there was no significant difference in homocysteine amino acid (Hcy) between the two groups before treatment (P > 0.05) After treatment, the Hcy of the two groups decreased to varying degrees, and the observation group was lower than that of the control group (P < 0.05). Conclusion the application of Dagliejing in the treatment of type 2 diabetes can improve the insulin resistance, blood lipid level and Hcy level.

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  • 收稿日期:2021-06-05
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  • 在线发布日期: 2021-11-09
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