ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-04-021 临床药物应用 2025, (04)

探析利格列汀联合达格列净对2 型糖尿病患者血糖的影响

山东省东明县第三人民医院

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摘要

目的 分析利格列汀联合达格列净在 2 型糖尿病患者治疗中的临床价值。方法 应用随机数字表法将东明县第三人民医院收治的 88 例 2 型糖尿病患者分为两组,纳入时间为 2022 年 1 月至 2023 年 12 月,各为 44 例。对照组应用利格列汀治疗,观察组应用利格列汀联合达格列净治疗,分析两组疗效、不良反应发生率、生活质量、血糖水平。结果 观察组治疗后总有效率高于对照组,差异有统计学意义(P<0.05);观察组治疗后世界卫生组织生存质量测定量表(WHOQOL-100)评分高于对照组,差异有统计学意义(P<0.05);观察组治疗后空腹血糖(FBG)、餐后 2 h 血糖(2 hPG)、糖化血红蛋白(HbA1c)水平低于对照组,差异有统计学意义(P<0.05);比较对照组、观察组治疗后不良反应发生率,差异无统计学意义(P>0.05)。结论 治疗 2 型糖尿病患者时,治疗方案选取利格列汀联合达格列净的安全性高、临床疗效理想,能够改善血糖水平。

Abstract

Objective To analyze the clinical value of linagliptin combined with dapagliflozin in the treatment of patients with type 2 diabetes mellitus (T2DM). Methods A total of 88 patients with T2DM admitted to the Third People’s Hospital of Dongming County between January 2022 and December 2023 were divided into two groups using a random number table method, with 44 cases in each group. The control group was treated with linagliptin alone, while the observation group received linagliptin combined with dapagliflozin. The therapeutic effects, incidence of adverse reactions, quality of life, and blood glucose levels were compared between the two groups. Results The total effective rate in the observation group was significantly higher than that in the control group after treatment (P<0.05). The World Health Organization Quality of Life Scale (WHOQOL-100) score in the observation group was significantly higher than that in the control group (P<0.05). Fasting blood glucose (FBG), 2-hour postprandial plasma glucose (2 hPG), and glycated hemoglobin (HbA1c) levels in the observation group were significantly lower than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion Linagliptin combined with dapagliflozin is a safe and effective treatment for type 2 diabetes, which can improve blood glucose control.

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[1]刘要信.探析利格列汀联合达格列净对2 型糖尿病患者血糖的影响[J],2025,01(04):.