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瑞格列奈、二甲双胍联合治疗2型糖尿病作用的评价
引用本文:李素梅,叶山东,莫蔚林,邢学农,荆春艳. 瑞格列奈、二甲双胍联合治疗2型糖尿病作用的评价[J]. 中国基层医药, 2003, 10(6): 505-506
作者姓名:李素梅  叶山东  莫蔚林  邢学农  荆春艳
作者单位:230001,合肥,安徽医科大学医疗二系,安徽省立医院
摘    要:目的 评价瑞格列奈、二甲双胍联合治疗2型糖尿病的疗效。方法 44例初发2型糖尿病病人服用瑞格列奈及二甲双胍,疗程12周,监测治疗前后体重指数(BMI)、空腹及餐后2h血糖(FBG、PBG)、糖基化血红蛋白(HbAlc)、空腹胰岛素水平。结果 FBG、PBG及HbAlc较治疗前显著下降(P<0.001),BMI较治疗前下降,胰岛素抵抗指数较前下降(P<0.001),肝、肾功能无变化,无严重低血糖发生。结论 瑞格列奈联合二甲双胍治疗2型糖尿病具有降糖作用,改善胰岛素敏感性及减轻体重指数,安全性、耐受性良好的特点。

关 键 词:瑞格列奈 二甲双胍 联合治疗 2型糖尿病 疗效 体重指数 糖基化血红蛋白
修稿时间:2002-12-30

Effect of repaqlinide combined with metformin on type 2 diabetes
LI Sumei,YE Shandong,MO Weilin,et al.. Effect of repaqlinide combined with metformin on type 2 diabetes[J]. Chinese Journal of Primary Medicine and Pharmacy, 2003, 10(6): 505-506
Authors:LI Sumei  YE Shandong  MO Weilin  et al.
Affiliation:LI Sumei,YE Shandong,MO Weilin,et al.Department of Endocrinology,Anhui Provincial Hospital,Hefei,230001,China
Abstract:Objective To evaluate the curative effect of repaqlinide plus metformin on type 2 diabetes.Methods Fourty-four patients with type 2 diabetes were treated with repaqlinide plus metformin for 12 weeks and the levels of BMI,FBG,PBG,HbAlc and FSI were measured before and after treatment.Results The levels of BMI,FBG,PBG,insulin resistance index and HbAlc were obviously decreased compared with those before treatment(P<0.001).The liver and renal function were not changed and the dangerous hypoglycemia did not happen.Conclusion Combination therapy with repaglinide and metformin leads to better glucemic control,improvement of insulin sensitivity and decreased BMI,which are safe and effective blood glucose-lowering agent.
Keywords:Type 2 diabetes Repaqlinide Metformin
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