目的观察降糖舒片联合瑞格列奈治疗2型糖尿病的临床效果。方法选择2017年2月-2018年8月在宝鸡文理学院医院治疗的2型糖尿病患者165例,随机分为对照组(82例)和治疗组(83例)。对照组患者餐前30min口服瑞格列奈片,初始剂量0.5 mg/次,3次/d...目的观察降糖舒片联合瑞格列奈治疗2型糖尿病的临床效果。方法选择2017年2月-2018年8月在宝鸡文理学院医院治疗的2型糖尿病患者165例,随机分为对照组(82例)和治疗组(83例)。对照组患者餐前30min口服瑞格列奈片,初始剂量0.5 mg/次,3次/d,之后根据血糖水平调整用药剂量,最大剂量为4 mg/d。治疗组在对照组基础上口服降糖舒片,5片/次,3次/d。两组患者均连续治疗3个月。观察两组患者临床疗效,同时比较治疗前后两组患者糖化血红蛋白(HbA1c)、餐后2 h血糖(2 h PBG)、空腹血糖(FBG)、胰岛素抵抗指数(HOMA-IR)、胰高血糖素样肽-1(GLP-1)和空腹胰岛素(FINS)水平。结果治疗后,对照组临床有效率为78.05%,显著低于治疗组的93.98%,两组比较差异有统计学意义(P<0.05)。治疗后,两组患者HbA1c、2 h PBG和FBG水平均显著下降(P<0.05),且治疗组患者HbA1c、2 h PBG和FBG水平明显低于对照组(P<0.05)。治疗后,两组患者HOMA-IR显著降低(P<0.05),而GLP-1和FINS水平均显著升高(P<0.05),且治疗组患者上述胰岛素指标水平明显好于对照组(P<0.05)。结论降糖舒片联合瑞格列奈治疗2型糖尿病,可有效改善患者临床症状,降低血糖水平和胰岛素抵抗。展开更多
OBJECTIVE:To assess the therapeutic effect of weekend fasting and administration of a modified Lingguizhugan decoction on metabolic syndrome(MetS).METHODS:Twenty-one patients with MetS were recruited from the First Af...OBJECTIVE:To assess the therapeutic effect of weekend fasting and administration of a modified Lingguizhugan decoction on metabolic syndrome(MetS).METHODS:Twenty-one patients with MetS were recruited from the First Affiliated Hospital of Sun Yat-Sen University.Fasting plasma glucose(FPG),30-min and 2-h post-prandial blood glucose(PG),fasting serum insulin(FINS),blood pressure(BP),body mass index(BMI),waist circumference(WC),homeostasis model assessment for insulin resistance index(HOMA-IR),and levels of triglyceride(TG),total cholesterol(TC),low-density lipoprotein-cholesterol(LDL-C),and high-density lipoprotein cholesterol(HDL-C)were tested.Patients were allowed to drink only water and a Chinese herbal decoction during weekends.All samples were tested again after 12 weeks of treatment.RESULTS:FPG,30-min PG,2-h PG,FINS,LDL-C,systolic BP,diastolic BP,BMI,WC,and HOMA-IR de-creased significantly(P<0.05)compared with before treatment.Levels of TG,TC,and HDL-C did not change significantly.CONCLUSION:Weekend fasting improved glucose metabolism,lowered BP,reduced LDL-C levels,BMI,and WC.These data suggest that weekend fasting may be an effective therapy for MetS by protection against coronary atherosclerosis.展开更多
文摘目的观察降糖舒片联合瑞格列奈治疗2型糖尿病的临床效果。方法选择2017年2月-2018年8月在宝鸡文理学院医院治疗的2型糖尿病患者165例,随机分为对照组(82例)和治疗组(83例)。对照组患者餐前30min口服瑞格列奈片,初始剂量0.5 mg/次,3次/d,之后根据血糖水平调整用药剂量,最大剂量为4 mg/d。治疗组在对照组基础上口服降糖舒片,5片/次,3次/d。两组患者均连续治疗3个月。观察两组患者临床疗效,同时比较治疗前后两组患者糖化血红蛋白(HbA1c)、餐后2 h血糖(2 h PBG)、空腹血糖(FBG)、胰岛素抵抗指数(HOMA-IR)、胰高血糖素样肽-1(GLP-1)和空腹胰岛素(FINS)水平。结果治疗后,对照组临床有效率为78.05%,显著低于治疗组的93.98%,两组比较差异有统计学意义(P<0.05)。治疗后,两组患者HbA1c、2 h PBG和FBG水平均显著下降(P<0.05),且治疗组患者HbA1c、2 h PBG和FBG水平明显低于对照组(P<0.05)。治疗后,两组患者HOMA-IR显著降低(P<0.05),而GLP-1和FINS水平均显著升高(P<0.05),且治疗组患者上述胰岛素指标水平明显好于对照组(P<0.05)。结论降糖舒片联合瑞格列奈治疗2型糖尿病,可有效改善患者临床症状,降低血糖水平和胰岛素抵抗。
基金Supported by the International Science andTechnology Cooperation Program of Guangdong Province(No.2009-B050700022)
文摘OBJECTIVE:To assess the therapeutic effect of weekend fasting and administration of a modified Lingguizhugan decoction on metabolic syndrome(MetS).METHODS:Twenty-one patients with MetS were recruited from the First Affiliated Hospital of Sun Yat-Sen University.Fasting plasma glucose(FPG),30-min and 2-h post-prandial blood glucose(PG),fasting serum insulin(FINS),blood pressure(BP),body mass index(BMI),waist circumference(WC),homeostasis model assessment for insulin resistance index(HOMA-IR),and levels of triglyceride(TG),total cholesterol(TC),low-density lipoprotein-cholesterol(LDL-C),and high-density lipoprotein cholesterol(HDL-C)were tested.Patients were allowed to drink only water and a Chinese herbal decoction during weekends.All samples were tested again after 12 weeks of treatment.RESULTS:FPG,30-min PG,2-h PG,FINS,LDL-C,systolic BP,diastolic BP,BMI,WC,and HOMA-IR de-creased significantly(P<0.05)compared with before treatment.Levels of TG,TC,and HDL-C did not change significantly.CONCLUSION:Weekend fasting improved glucose metabolism,lowered BP,reduced LDL-C levels,BMI,and WC.These data suggest that weekend fasting may be an effective therapy for MetS by protection against coronary atherosclerosis.
