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医学临床研究  2019, Vol. 36 Issue (7): 1252-1254    DOI: 10.3969/j.issn.1671-7171.2019.07.002
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伏格列波糖胶囊联合磷酸西格列汀片治疗老年性2型糖尿病的疗效观察
徐伟, 罗涌, 何艳
重庆三峡中心医院内分泌科,重庆 404000
Therapeutic Effect of Voglibose Capsule Combined with Sitagliptin Phosphate Tablets in Elderly Patients with Type 2 Diabetes
XU Wei, LUO Yong, HE Yan
Department of Endocrinology, Chongqing Three Gorges Central Hospital,Chongqing Sichuan 404000
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摘要 【目的】探讨伏格列波糖胶囊联合磷酸西格列汀片治疗老年性2型糖尿病(T2DM)患者的疗效。【方法】选取2016年2月至2018年5月本院诊治的T2DM患者186例,按随机数表法分为观察组和对照组,每组93例。对照组口服磷酸西格列汀片,观察组在对照组基础上加用伏格列波糖胶囊治疗。检测两组治疗前、后空腹血糖(FPG)、餐后2小时血糖(2hPG)及糖化血红蛋白(HbA1c)水平。根据Accu-Chek Performa罗氏血糖仪中血糖图计算患者日均平均血糖波动幅度(MAGE)、血糖标准差(SD),统计低血糖发生率。记录治疗期间两组不良反应发生情况。【结果】治疗前,两组患者FPG、2hPG、HbA1c水平比较差异均无统计学意义(P>0.05);治疗后,两组患者FPG、2hPG、HbA1c水平均明显降低(P<0.05),且观察组低于对照组(P<0.05)。观察组患者日均MAGE、SD和低血糖发生率均明显低于对照组(P<0.05)。观察组不良反应发生率为9.68%,与对照组的10.75%比较差异无统计学意义(P>0.05)。【结论】伏格列波糖胶囊联合磷酸西格列汀片治疗T2DM较单一磷酸西格列汀片治疗降糖效果更好,血糖波动更小,低血糖发生率更低,且安全可靠,值得临床推广应用。
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徐伟
罗涌
何艳
关键词 糖尿病2型/药物疗法药物疗法联合老年人    
Abstract【Objective】To investigate the efficacy of voglibose capsule combined with sitagliptin phosphate tablets in the treatment of elderly patients with type 2 diabetes mellitus (T2DM). 【Methods】A total of 186 patients with T2DM admitted to our hospital from February 2016 to May 2018 were enrolled. Patients were divided into the observation group and the control group by the random number table method, with 93 cases in each group. The control group received oral sitagliptin phosphate tablets and the observation group received oral voglibose capsules and sitagliptin phosphate tablets. The levels of fasting blood glucose (FPG) and 2 hours postprandial blood glucose (2hPG) were measured by glucose oxidase method before and after treatment, and the levels of HbA1c were analyzed by high performance liquid chromatography. The average daily blood glucose fluctuation (MAGE) and blood glucose standard deviation (SD) were calculated according to the blood glucose map in the Accu-Chek Performa Roche blood glucose meter, and the incidence of hypoglycemia was recorded. The incidence of adverse reactions in the two groups during treatment was recorded. 【Results】 Before treatment, there were no significant differences in the levels of FPG, 2 h PG and HbA1c between the two groups (P>0.05). After treatment, the levels of FPG, 2 h PG and HbA1c were significantly lower in the two groups (P<0.05). The values in the observation group were remarkably lower than those in the control group (P<0.05). The incidence of daily mean MAGE, SD and hypoglycemia in the observation group were significantly lower than those in the control group (P<0.05). The incidence of adverse reactions in the observation group and the control group were 9.68% and 10.75%, respectively. There was no significant difference between the two groups (P>0.05). 【Conclusion】 Voglibose capsule combined with sitagliptin phosphate tablets in the treatment of T2DM is better than single sitagliptin phosphate tablets. It shows that the blood sugar fluctuation is smaller, the incidence of hypoglycemia is lower, and it is safe and reliable.
Key wordsDiabetes Mellitus, Type 2/DT    Drug Therapy, Combination    Aged
收稿日期: 2018-09-26     
PACS:  R587.1  
通讯作者: E-mail:luoyong@163.com   
引用本文:   
徐伟, 罗涌, 何艳. 伏格列波糖胶囊联合磷酸西格列汀片治疗老年性2型糖尿病的疗效观察[J]. 医学临床研究, 2019, 36(7): 1252-1254.
XU Wei, LUO Yong, HE Yan. Therapeutic Effect of Voglibose Capsule Combined with Sitagliptin Phosphate Tablets in Elderly Patients with Type 2 Diabetes. JOURNAL OF CLINICAL RESEARCH, 2019, 36(7): 1252-1254.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.07.002     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I7/1252
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