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《格列美脲联合胰岛素治疗2型糖尿病的临床观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、北医药2011午2旦第3鲞箜!Q!!eb!o.doi:10.3969/j.issn.1002—7386.2011.03.010·论著·格列美脲联合胰岛素治疗2型糖尿病的临床观察商书霞宋光耀陈树春魏立民陈金虎【摘要】目的评价格列关脲联合胰岛素对2型糖尿病(T2DM)的临床疗效。方法T2DM患者64例,均为单用胰岛素血糖控制欠佳者,随机分为观察组和对照组,观察组加用格列美脲2—4ms/d,根据血糖调整胰岛素用量;对照组继续应用胰岛素治疗,并根据血糖加大剂量。12周后观察治疗前后空腹血糖(FBG)、餐后2h血糖(2hBG)、糖化血红蛋白(HbA1C)、体
2、重指数(BMI)、每日胰岛素用量变化以及药物不良反应。结果治疗后观察组FBG、2hBG、HbA1C较对照组明显降低,胰岛素用量减少(P<0.05);所有入选者共发生低血糖6例,其中观察组2例,对照组4例。结论T2DM单用胰岛素血糖控制不佳者,加用格列关脲可显著改善血糖控制,低血糖发生率低,并可减少胰岛素用量。【关键词】格列关脲;2型糖尿病;胰岛素【中图分类号】R587.1【文献标识码】A【文章编号】1002—7386(2011)03—0346—02TherapeuticefectofglimepiHdecombinedwithinsulinonty
3、pe2diabetesSHANGShuxia,SONGGuan—gyao,CHENShuchun,eta1.DepartnvzntofInternalMedicine,TheSecondMineHospital,J~hongEnergyFengfengGroup,Hebei,Handan056201,China【Abstract】ObjectiveToobservethetherapeuticeffectofglimepiridecombinedwithinsulinOntype2diabetes.Methods64patientswithtype
4、2diabeteswhoweregivensingleinsulinandtheirbloodglucosewa$notcontrolledwellwererandomlydividedintotwogroups:observationgroupandcontrolgroup.Thepatientsinobser·vationgroupweretreatedwithglimepiride(1~4mg,qd.po)combinedwithinsulin,andthedosageofinsulinwasadjustedaccordingtopatien
5、ts’bloodglucoselevels,however,thepatientsincontrolgroupweretreatedbysinglein-sulincontinuously.After12weeks,thelevelsoffastingbloodglucose(FBG),2hourpostprandialbloodglucose(2hBG),glycosylatedhemoglobin(HbA1C),bodymassindex,insulindosageanddrugadversereactionweredetectedandobs
6、erved.ResultsThelevelsofFBG,2hBG,andHbA1Cinobservationgroupweresignificantlylowerthanthoseincontrolgroup(P<0.05),anddosageofinsulinwassignificantlydecreasedinobservationgroup(P<0,05).Amongallthepatientstherehappened6casesofhypoglycaemia,2casesinobservationgroupand4casesincontr
7、olgroup.ConclusionGlimepiridecombinedinsulincanimprovetheglucosecontrolandreducetheincidenceofhypoglycaemiainpatientswithtype2diabetesadministratedonlywithinsulinwithoutefectivecontrolofbloodglucose,andcanreducethedosageofinsulin.【Keywords】glimepiride;type2diabetics;insulin2型糖
8、尿病(type2diabetesmellitus,T2DM)是胰岛素分泌12月T2DM患者64例,其中男39例,女25例;
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