吡格列酮联合二甲双胍治疗初诊肥胖青中年2型糖尿病36例分析
摘要
目的:观察二种胰岛素增敏剂(吡格列酮和二甲双胍)联合治疗初诊肥胖年轻2型糖尿病的有效性和安全性。方法:选择符合条件的病例36例,治疗12周,采用随机、开放的方法,观察用药前后的情况并继续治疗观察1 a。结果:(1)12周后FBG、PG2h、HbA1c、BMI有明显下降(P<0.01);(2)无低血糖发生;(3)TC、TG、HDL-L、LDL-C无明显变化(P>0.05)。结论:吡格列酮联合二甲双胍治疗糖尿病是一种安全、有效、合理的治疗方案。
出处
《中国误诊学杂志》
CAS
2007年第24期5883-5884,共2页
Chinese Journal of Misdiagnostics
参考文献4
-
1Bautista JL,Bugos C,Dirnberger G,et al.The efficacy and safety of Amarylas Compared to Placebo in mexicam-Amenicans with type 2 diabetes imadequately controlled by exercise and diet alone[J].Diabetes Res Clin Pract,2000,50(suppl 1):s46.
-
2Walter H,Lubben G.potential roce of oral thiazolidinedione therapy in preserving beta-cell function in type 2 diabetes mellitus[J].Drugs,2005,65(1):1.
-
3许曼音,陆广华,陈名道,等.糖尿病学[M].2版.上海:科学技术出版社,2004:329-331.
-
4邹大进,张丽娟.吡格列酮在不同阶段糖尿病治疗中的合理使用[J].实用糖尿病杂志,2005,1(6):56-57. 被引量:3
二级参考文献12
-
1Walter H,Lubben G.Potential role of oral thiazolidinedione therapy in preserving beta - cell function in type 2 diabetes mellitus.Drugs 2005;65(1):1-13.
-
2Kipnes MS,Krosnick A,Rendell MS,et al.Pioglitazone hydrochloride in combination with sulfonylurea therapy improves glycemic control in patients with type 2 diabetes mellitus:a randomized,placebo - controlled study.Am J Med 2001 Jul; 111 (1):10 -17.
-
3Miyazaki Y,Mahankali A,Matsuda M,et al,Improved glycemic control and enhanced insulin sensitivity in type 2 diabetic subjects treated with pioglitazone.Diabetes Care 2001 Apr; 24 (4):710-719.
-
4Kawamori R,Matsuhisa M,Kinoshita J,et al.Pioglitazone enhances splanchnic glucose uptake as well as peripheral glucose uptake in non - insulin - dependent diabetes mellitus.AD - 4833 Clamp - OGL Study Group.Diabetes Res Clin Pract 1998 Jul;41(1) :35 -43.
-
5Kemnitz JW,Elson DF,Roecker EB,et al.Pioglitazone increases insulin sensitivity,reduces blood glucose,insulin,and lipid levels,and lowers blood pressure,in boese,insulin - resistant rhesus monkeys.Diabetes 1994 Feb;43(2) :204- 211.
-
6Yamaguchi M,Nishimura F,Naruishi H,et al.Thiazolidinedione(pioglitazone)blocks P.gingivalis - and F.nucleatum,but not E.coli,lipopolysaccharide(LPS) - induced interleukin - 6 (IL - 6) production in adipocytes.J Dent Res 2005 Mar; 84 (3):240 - 244.
-
7Yang WS,Jeng CY,Wu TJ,et al.Synthetic peroxisome proliferator- activated receptor - gamma agonist,rosiglitazone,increases plasma levels of adiponectin in type 2 diabetic patients.Diabetes Care 2002 Feb;25(2) :376 - 380.
-
8Durbin RJ.Thiazolidinedione therapy in the prevention/delay of type 2 diabetes in patients with impaired glucose tolerance and insulin resistance.Diabetes Obes Metab 2004 Jul;6(4):280- 285.
-
9Charbonnel BH,Matthews DR,Schemthaner G,et al.A long - term comparison of pioglitazone and gliclazide in patients with Type 2 diabetes mellitus:a randomized,double - blind,parallel - group comparison trial.Diabet Med 2005 Apr;22(4) :399 - 405.
-
10Ceriello A,Johns D,Widel M,et al.Comparison of effect of piolitazone with metformin or sulfonylurea(monotherapy and combination therapy)on postload glycemia and composite insulin sensitivity index during an oral glucose tolerance test in patients with type 2 diabetes.Diabetes Care 2005 Feb;28(2) :266 - 272.
共引文献2
-
1董健,代芳,王亚林,于瑞萍,刘波.门冬胰岛素30与盐酸吡格列酮联合治疗对2型糖尿病患者血糖的影响[J].郑州大学学报(医学版),2006,41(5):936-938. 被引量:1
-
2刘静,朱传钧,王莉文.我院2005-2007年门诊糖尿病患者用药情况分析[J].中国新药杂志,2008,17(9):795-797. 被引量:8
-
1阿比丹.木依孜,阿布力克木.罗格列酮治疗2型糖尿病47例临床研究[J].中国社区医师(医学专业),2012,14(14):169-169. 被引量:2
-
2陈家伦.第四讲:噻唑烷二酮类治疗2型糖尿病的疗效及安全性[J].中华内分泌代谢杂志,2000,16(4):268-269. 被引量:48
-
3蔡瑾,李雅君,矫杰.吡格列酮对新诊断2型糖尿病患者血清C反应蛋白的影响[J].临床内科杂志,2010,27(2):123-124. 被引量:4
-
4李贤厚,段滨红,王亦薇,冯琨,杨玉芝.罗格列酮治疗2型糖尿病合并肾病尿微量白蛋白的疗效观察[J].中国误诊学杂志,2004,4(9):1432-1432. 被引量:5
-
5姜荷艳,王锐.C反应蛋白在2型糖尿病中的作用及罗格列酮对其的影响[J].中国误诊学杂志,2007,7(20):4746-4746.
-
6噻唑烷二酮类与充血性心力衰竭及肺水肿有关[J].国外医学(内分泌学分册),2004,24(2):142-142.
-
7Демпова,丁国林(摘).吡格列酮对2型糖尿病伴发肥胖症患者的疗效[J].国外医学(老年医学分册),2009,30(1):44-44. 被引量:1
-
8黄凯涛.噻唑烷二酮类胰岛素增敏剂治疗非酒精性脂肪性肝病的临床研究[J].中国临床研究,2014,27(6):684-685. 被引量:5
-
9张春梅,安颖,王慎田.罗格列酮对急性冠脉综合征患者血清hsCRP及IL-6的影响[J].中国临床保健杂志,2006,9(6):603-604. 被引量:2
-
10赵玉霞.稳心颗粒治疗室性心律失常40例临床观察[J].中国基层医药,2007,14(3):504-504. 被引量:1