期刊文献+

正确认识二甲双胍的禁忌症 被引量:4

Correct understanding of the contraindications of metformin
原文传递
导出
摘要 二甲双胍是有丰富的疗效和安全性循证医学依据的一类口服降糖药,被推荐为2型糖尿病的一线治疗药物和联合治疗的基础用药。但其产品说明书中列举的不良反应和使用禁忌,使部分医生和患者对二甲双胍的使用存在顾虑。文中论述了二甲双胍与胃肠道症状、乳酸酸中毒和肝肾功能异常的关系,旨在正确认识二甲双胍的禁忌证,使其合理使用,发挥其在2型糖尿病治疗中的作用。 Metformin is a widely used oral hypoglycemic agent, and its efficacy and safety have been confirmed by a large number of evidence-based studies. It is recommended as the first-line treatment and a basal drug in combination therapy of type 2 diabetes. However, its side effects and contraindications let doctors and patients worry about to use of it. This article focused on the gastrointestinal symptoms, lactic acidosis, liver and kidney functions related to the use of metformin in order to correctly understand the contraindications and rational use of metformin in the treatment of type 2 diabetes.
作者 张俊清
出处 《中国新药杂志》 CAS CSCD 北大核心 2011年第21期2116-2118,共3页 Chinese Journal of New Drugs
关键词 二甲双胍 药物不良反应 药物禁忌症 metformin adverse drug reaction drug contraindication
  • 相关文献

参考文献13

  • 1UK Prospective Diabetes Study Group. Effect of intensive blood- glucose control with metformin on complications in overweight pa- tients with type 2 diabetes ( UKPDS 34 ) [ J ]. Lancet, 1998,352 (9139) :854 - 865.
  • 2GARBER AJ, DUNCAN TG, GOODMAN AM, et al. Efficacy of metformin in type II diabetes : results of a double-blind, placebo- controlled, dose-response trial [ J ]. Am J Med, 1997,103 (6) : 491 - 497.
  • 3CRYER DR, NICHOLAS SP, HENRY DH, et al. Comparative outcomes study of metformin intervention versus conventional ap- proach the COSMIC Approach Study[ J ]. Diabetes Care, 2005, 28(3) :539 -543.
  • 4SALPETER S, GREYBER E, PASTERNAK G, et al. Risk of fatal and nonfatal lactic acidosis with metformin use in type 2 diabetes mellitus [ J ]. Cochrane Database Syst Rev, 2006, 25 ( 1 ) : CD002967.
  • 5BROWN JB, PEDULA K, BARZILLAN J, et al. Lactic acidosis in type 2 diabetes [ J]. Diabetes Care, 1998,21 (10) : 1659 - 1663.
  • 6MISBIN RI, GREEN L, STADEL BV, et al. Lactic acidosis in patients with diabetes treated with metformin [ J ]. N Eng J Med, 1998,338 ( 1 ) :265 - 266.
  • 7HOWLETT HCS, BAILEY CJ. A risk benefit assessment of met- formin in type 2 diabetes mellitus [ J ]. Drug Saf, 1999,20 ( 6 ) : 489 -503.
  • 8STUMVOLL M, NURJHAN N, PERRIELLO G, et al. Metabolic effects of metformin in non-insulin-dependent diabetes mellitus [J]. N Engl J Med,1995, 333(9): 550 -554.
  • 9RACHMANI R, SLAVACHEVSKI I, LEVY Z,et al. Metformin in patients with type 2 diabetes: reconsideration of traditional contraindications[ J]. Eur J Intern Med,2002 ,13( 7 ) :428 -433.
  • 10PONGWECHARAK J, TENGMEESRI N, MALANUSORN N, et al. Prescribing metformin in type 2 diabetes with a contraindica- tion : prevalence and outcome [ J ]. Pharm World Sci, 2009, 31 (4) :481 -486.

二级参考文献7

  • 1[1]Porta M,Trento M.Management of hyperglycemia in type 2 diabetes:a consensus algorithm for the initiation and adjustment of therapy:a consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes[J].Diabetes Care,2007,30(1):193.
  • 2[2]Diabetes Prevention Program Research Group.Effects of withdrawal from metformin on the development of diabetes in the diabetes prevention program[J].Diabetes Care,2003,26:977.
  • 3[3]Zhou G,Myers R,Li Y,et al.Role of AMP-activated protein kinase in mechanism of metformin action[J].J Clin Invest,2001.108:1167.
  • 4[4]UK Prospective Diabetes Study(UKPDS)Group.Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes(UKPDS 34)[J].Lancet,1998,352:854.
  • 5[6]Salprter S,Greyber E,Pastemak G,et al.Risk of fatal and nonfatal lactic acidosis with metformin use in type 2 diabetes mellitus[J].Cochrane Database of Systematic Reviews,2006,25(1):CD002967.
  • 6李春霖,杨光.二甲双胍的临床应用[J].中国医刊,2007,42(10):14-17. 被引量:14
  • 7孟晓敏,周庆,侯惠如.扎止血带抽血对血乳酸浓度的影响[J].中华护理杂志,2003,38(11):863-864. 被引量:14

共引文献25

同被引文献27

引证文献4

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部