达格列净片联合厄贝沙坦治疗早期2型糖尿病肾脏疾病患者的疗效
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Curative effect of dapagliflozin tablet combined with irbesartan in patients with early type 2 diabetic nephropathy
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    摘要:

    目的:观察达格列净片(Farxiga)联合厄贝沙坦治疗早期2型糖尿病肾脏疾病患者疗效的影响。方法:纳入110例早期2型糖尿病肾脏疾病患者为研究对象,根据接受治疗方法不同将患者分为厄贝沙坦(ARB)组(n=52)和厄贝沙坦联合Farxiga组(n=58)。两组患者均持续治疗2个月。比较两组患者治疗效果,空腹血糖水平(FPG)、餐后2 h血糖水平(2 hPG),24 h尿蛋白(24 h-PRO)、尿微量白蛋白(U-mAlb),凝血酶时间(TT)、检测活化部分凝血活酶时间(aPTT),D-二聚体、血浆蛋白c(PC),记录不良反应发生情况。结果:治疗后,联合Farxiga组治疗有效率高于ARB组(P<0.05);联合Farxiga组FPG、2 hPG、24 h-PRO、U-mAlb、D-二聚体、PC水平均低于ARB组,TT、aPTT水平均高于ARB组(P<0.05);ARB组和联合Farxiga组患者不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:达格列净片联合厄贝沙坦能够提高早期2型糖尿病肾脏疾病患者治疗有效率,降低患者血糖水平和尿蛋白水平,改善患者凝血功能。

    Abstract:

    Objective;To observe the curative effect of dapagliflozin tablet(Farxiga)combined with irbesartan(ARB)in pa-tients with early type 2 diabetic nephropathy.Methods:According to different treatment methods,110 patients with early type 2 diabet-ic nephropathy were divided into ARB group(n=52)and combination group(n=58).All patients were treated for 2 months.After treatment,curative effect,fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),24 h urinary protein(24 h-PRO),uri-nary microalbumin(U-mAlb),thrombin time(TT),activated partial thromboplastin time(aPTT),D-dimer,plasma protein c(PC)and incidence of adverse reactions were compared between the two groups.Results;After treatment,response rate of treatment was high-er in combination group than ARB group(P<0.05).After treatment,levels of FPG,2 hPG,24 h-PRO,U-mAlb,D-dimer and PC were lower in combination group than ARB group,while TT and aPTT were higher in combination group(P<0.05).After treatment,the difference in the total incidence of adverse reactions between the two groups was not statistically significant(P>0.05).Conclusion;Dapagliflozin tablet combined with irbesartan can improve response rate of treatment,reduce blood glucose,urinary protein and improve coagulation function in patients with early type 2 diabetic nephropathy.

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杨伟鹏;郭鹏;邓文超;.达格列净片联合厄贝沙坦治疗早期2型糖尿病肾脏疾病患者的疗效[J].川北医学院学报,2025,40(2):249-252.

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  • 在线发布日期: 2025-07-24
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