达格列净治疗T2DM合并冠状动脉粥样硬化性心脏病的效果分析

Analysis of the effect of dapagliflozin in the treatment of T2DM complicatedwith coronary atherosclerotic heart disease

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DOI 10.12208/j.imrf.20220053
刊名
International Medical Research Frontier
年,卷(期) 2022, 6(2)
作者
作者单位

中山市古镇人民医院 广东中山 ;

摘要
分析达格列净治疗T2DM合并冠状动脉粥样硬化性心脏病的效果。方法 选择我院2021年1月-2022年1月T2DM合并冠状动脉粥样硬化性心脏病患者共70例,每组35例,对照组的患者给予常规降糖药物和调脂药物阿托伐他汀等常规药物治疗,观察组在该基础上增加达格列净。结果 观察组血糖控制达标时间短于对照组,治疗后患者血糖、血清氨基末端脑钠肽前体、左室舒张末期内径低于对照组,六分钟步行试验高于对照组,总有效率高于对照组,P<0.05。两组治疗过程不良反应未见,P>0.05。结论 常规降糖药物和调脂药物阿托伐他汀等常规药物联合达格列净对于T2DM合并冠状动脉粥样硬化性心脏病的治疗效果确切,可更好控制血糖,改善心功能,降低氨基末端脑钠肽前体,促进患者运动耐力提高。
Abstract
Objective To analyze the effect of Dapagliflozin in the treatment of T2DM complicated with coronary atherosclerotic heart disease. Methods From January 2021 to January 2022, 70 patients with T2DM complicated with coronary atherosclerotic heart disease in our hospital were selected, with 35 patients in each group. Patients in the control group were treated with conventional hypoglycemic drugs and atorvastatin, while those in the observation group were treated with Dapagliflozin. Results After treatment, the blood glucose, serum amino-terminal pro-brain natriuretic peptide and left ventricular end diastolic diameter of the patients in the observation group were lower than those in the control group, and the six-minute walking test was higher than that in the control group, and the total effective rate was higher than that in the control group (P < 0.05). There were no adverse reactions in the two groups (P > 0.05). Conclusion Conventional hypoglycemic drugs and lipid-lowering drugs such as atorvastatin combined with Dapagliflozin are effective in the treatment of T2DM complicated with coronary atherosclerotic heart disease, which can better control blood sugar, improve heart function, reduce amino-terminal pro-brain natriuretic peptide, and promote the exercise endurance of patients.
关键词
达格列净;T2DM;冠状动脉粥样硬化性心脏病
KeyWord
Dapagliflozin; T2DM; Coronary atherosclerotic heart disease
基金项目
页码 43-45
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黄健荣*. 达格列净治疗T2DM合并冠状动脉粥样硬化性心脏病的效果分析 [J]. 国际医药研究前沿. 2022; 6; (2). 43 - 45.

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