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阿卡波糖对比二甲双胍治疗2型糖尿病的有效性、安全性和经济性分析

张明,成立娟,任志学,郭敬,李红霞,宋玉玲,靳丽丽,刘晓宇,魏田静   

  1. 河北省第七人民医院,河北省第七人民医院,河北省第七人民医院,定州市花张蒙医院,河北省第七人民医院,河北省第七人民医院,河北省第七人民医院,河北省第七人民医院,河北省第七人民医院
  • 收稿日期:2017-08-10 修回日期:2017-10-23 出版日期:2017-11-25
  • 基金资助:
    保定市科学技术研究与发展指导计划项目(项目编号:14ZF080;项目名称:二甲双胍与阿卡波糖对糖尿病下肢缺血性疾病临床疗效的研究)

The Efficacy, Safety and Economic Analysis of Acarbose in Treatment of Type 2 Diabetes Compared with Metformin

zhangming,chenglijuan,renzhixue,guojing,lihongxia,songyuling,jinglili,liuxiaoyu and weitianjing   

  1. Seventh, hebei province people's hospital,Seventh, hebei province people's hospital,Seventh, hebei province people's hospital,Dingzhou Zhang Meng hospital,Seventh, hebei province people's hospital,Seventh, hebei province people's hospital,Seventh, hebei province people's hospital,Seventh, hebei province people's hospital,Seventh, hebei province people's hospital
  • Received:2017-08-10 Revised:2017-10-23 Online:2017-11-25

摘要: 目的: 分析阿卡波糖对比二甲双胍治疗2型糖尿病(T2DM)的有效性、安全性和经济性。方法: 选择我院2013年10月1日至2014年10月1日收治的92例2型糖尿病患者,分为A组与B组两组,每组各46例。其中对A组采取二甲双胍治疗,B组采用阿卡波糖治疗。结果: A组与B组的治疗总有效率分别为84.78%与82.61%,P>0.05;A组与B组的不良反应发生率分别为13.04%与15.22%,P>0.05;A组具有较为明显的经济学优势,P<0.05;比较两组治疗前后的餐后血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)水平无明显差异,P>0.05。结论:对2型糖尿病患者采取二甲双胍与阿卡波糖进行治疗均可获得较为明显的疗效,药物安全性均较高,且二甲双胍更为经济有效。

Abstract: Objective: To analyze the efficacy, safety and economy of acarbose versus metformin in treatment of type 2 diabetes(T2DM). Methods: 92 patients with type 2 diabetes admitted by our hospital from October 1, 2013 to October 1, 2014 were divided into two groups: group A and group B, with 46 cases in each group. Group A was treated with metformin and group B was treated with acarbose. Results: The total effective treatment of group A and group B was 84.78% and 82.61% respectively,P>0.05.The incidence of adverse reactions in group A and group B was 13.04% and 15.22% respectively,P>0.05; Group A has obvious economic advantages,P<0.05. There was no significant difference between the FPG, HbAlc, and 2hPG levels before and after treatment,P>0.05.Conclusion: The treatment of dimetformin and acapalose in type 2 diabetes mellitus can obtain more obvious curative effect, the drug safety is higher, and metformin is more economical and effective.