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口服降糖药物联合应用治疗2型糖尿病患者的临床研究 被引量:4

Clinical study of the combined application of the oral antidiabetic drugs in treating type 2 diabetes mellitus
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摘要 目的 探讨马来酸罗格列酮和二甲双胍联合用药对 2型糖尿病的治疗效果。方法 采用开放随机平行对照方法将 86例 2型糖尿病患者分为两组。研究组 4 5例 ,口服马来酸罗格列酮和二甲双胍 ;对照组 4 1例 ,口服二甲双胍。治疗前后分别测定空腹和餐后血糖、HbA1c、血清胰岛素、C肽水平、血压和血脂。结果 研究组能使空腹和餐后血糖、HbA1c、血清胰岛素、C肽、收缩压、舒张压和甘油三酯水平明显下降 ,在改善空腹和餐后血糖、降低血清胰岛素、C肽方面 ,显著优于对照组 (P <0 .0 5或P <0 .0 1)。结论 马来酸罗格列酮和二甲双胍联合用药可明显降低血糖 ,改善胰岛素抵抗 ,减轻胰岛β细胞负荷 ,使胰岛 Objective To investigate the effectiveness of the combined application of rosiglitazone maleate and metformin in treating type 2 diabetes mellitus .Methods 86 patients with type 2 diabetes mellitus were randomly divided into two groups.The study group 45 cases , were orally taken rosiglitazone maleate and metformin.The control group 41 cases , were orally taken metformin.The level of FBG , 2HPG , HbA1c , Insulin and C-P were measured before and after the treatment .Results The study group could obviously decrease the level of FBG,2HPG , HbA1c , Insulin and C-P(P<0.05), and was better than the control group. ConclusionThe study group can obviously decine the blood sugar , improve the Insulin Resistance and relieve the pressure of Ins β cell ,improve the function of Ins β cell.
出处 《宁夏医学杂志》 CAS 2004年第1期7-9,共3页 Ningxia Medical Journal
关键词 2型糖尿病 胰岛素抵抗 罗格列酮 二甲双胍 Diabetes mellitus Insulin resistance Rosiglitazone maleate Metformin
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  • 1Grossman SL, Lessem J. Mechanisms and clinical effects of thiazolidinediones[J]. Exp Opin Invest Drugs, 1997, 6:1025- 1040.
  • 2Grinsell JW, Lardinois CK, Sewislocki A, et al. Pioglitazone attenuates baml and postprandial insulin concentrations and blood pressure in the spontaneously hypertenstive rat[J]. Am J Hypertens 2000. 13:370- 375.
  • 3Hirose H, Kawai T, Yamamoto Y, et al. Effects of pioglitazone on metabolic parameters, body fat distribution, and serum adiponectin levels in Japanese male patients with type 2 diabetes[ J ].Metabolism, 2002, 51:314 - 573.
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