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胰升血糖素样肽-1受体激动剂和二肽基肽酶-4抑制剂治疗2型糖尿病临床疗效的观察 被引量:6

The analysis of clinical effect of DPP-4 inhibitor versus GLP-1 receptor agonist treatment of type 2 diabetes
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摘要 目的观察胰升血糖素样肽-1(GLP-1)受体激动剂和二肽基肽酶-4(DPP-4)抑制剂对于治疗T2DM的临床疗效。方法将T2DM患者按随机数字表法分为DPP-4组和GLP-1组,每组各40例。26周后,观察两组治疗疗效及各项指标的变化。结果 26周后,两组FPG及HbA1c均较治疗前下降(P<0.05),与DPP-4组比较,GLP-1组下降更明显。结论 GLP-1治疗T2DM的疗效优于DPP-4,值得在临床上推广使用。 Objective To observe the clinical effects of glucagon-like peptide-1 (GLP-1) receptor agonist versus sitagliptin dipeptidyl peptidase-4 (DPP-4) inhibitor for the treatment of type 2 diabetes mellitus (T2DM).Methods Patients with type 2 diabetes were divided into the DPP-4 group (n=40) and GLP-1 group(n =40) according to random digits table.After 26 weeks,the curative effects and changes of each indicator in the two groups were observed.Results After 26 weeks of treatment,the FPG and HbA1 c of two groups were decreased as compared with those before treatment (P<0.05).And the HbA1c decrement of GLP-1 group is better than that of DPP-4 group(P<0.05).Conclusion The curative effect of GLP-1 is better than that of DPP-4 in the treatment of type 2 diabetes,thus GLP-1 is worth of popularizing in clinical use.
作者 徐娜 金文波
出处 《中国糖尿病杂志》 CAS CSCD 北大核心 2014年第8期731-733,共3页 Chinese Journal of Diabetes
关键词 糖尿病 2型 二肽基肽酶-4 胰升血糖素样肽-1 Diabetes mellitus, type 2 Dipeptidyl peptidase-4 (DPP-4) Glucagon-like peptide-1 (GLP-1)
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