三级医院口服降糖药对2型糖尿病患者的疗效:一项比较观察研究

K. Arun
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摘要

高血糖症,或高血糖状态,是糖尿病的一种症状,糖尿病是一种复杂的慢性疾病,由胰岛素分泌、活性不足或两者兼而有之引起。由于2型糖尿病是一种常见病和弥漫性疾病,它是一个重大的全球公共卫生问题。国际糖尿病联合会(International Diabetes Federation)估计,到2045年,全球将有6.29亿人患有糖尿病,高于目前的4.25亿人。主要目的是比较三级医院口服降糖药治疗2型糖尿病患者的疗效。这项前瞻性观察研究在卡拉布拉吉的香港大学Basaveshwar教学总医院进行了为期6个月的研究。患者根据入选标准入组。120例2型糖尿病患者被纳入研究人群。120例患者中,双胍类药物、磺脲类药物和DPP-4抑制剂分别为25例(20.83%)、15例(12.5%)和20例(16.66%),双胍类药物和磺脲类药物联用、双胍类药物和DPP-4抑制剂联用和双胍类药物、磺脲类药物和DPP-4抑制剂联用分别为10例(8.33%)、30例(25%)和20例(16.66%)。最后,通过对各项实验室数据的比较,得出DPP4抑制剂联合用药组在维持2型糖尿病患者良好血糖状态方面优于其他降糖药物,以双胍类药物+DPP-4抑制剂效果最好,其次为双胍类药物+DPP-4抑制剂+磺脲类药物。
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Effectiveness of Oral Hypoglycaemics in Type-2 Diabetes Mellitus Patients at a Tertiary Care Hospital : A Comparative Observational Study
Hyperglycemia, or a state of high blood sugar, is a symptom of diabetes mellitus (D.M.), a complicated chronic disease brought on by deficits in insulin production, activity, or both. Since type 2 diabetes mellitus is a frequent and spreading condition, it is a significant global public health issue. The International Diabetes Federation estimates that 629 million people will have diabetes by 2045, up from the current 425 million cases. The main objective is to compare the effectiveness of oral hypoglycaemics in Type-2 Diabetes Mellitus patients at a tertiary care hospital. This prospective observational study was carry out for six months at HKES’s Basaveshwar Teaching and General Hospital, Kalaburagi. Patients were enrolled based on eligibility criteria. Study populations of 120 subjects with incident Type 2 Diabetes Mellitus were enrolled. Among 120 issues, 25 (20.83%), 15 (12.5%), and 20 (16.66%) subjects are under the treatment of Biguanides, Sulfonylureas, and DPP-4 Inhibitors. 10 (8.33%), 30 (25%) and 20 (16.66%) subjects are under the treatment of Biguanides and Sulfonylureas combination, Biguanides and DPP-4 Inhibitors combination and Biguanides, Sulfonylureas and DPP-4 Inhibitors combination. Finally, conclude that the DPP4  Inhibitor combination group of drugs  is better than other anti-diabetic medications in maintaining good glycemic status in type 2 D.M. patients, particularly Biguanides+DPP-4 Inhibitors and then followed by Biguanides+DPP-4 Inhibitors + Sulfonylureas by comparing all the laboratory values obtained.
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