本文選題：型糖尿病 + 口服降糖藥��； 參考：《中國(guó)老年學(xué)雜志》2017年18期

【摘要】：目的探討聯(lián)合使用口服降糖藥和胰島素治療對(duì)老年2型糖尿病(T2DM)合并冠心病患者心血管不良事件的影響。方法 T2DM合并冠心病患者102例,按照所采取治療方法不同,將患者分為觀察組與對(duì)照組各51例。給予對(duì)照組單獨(dú)胰島素治療(日用胰島素總量30 U);給予觀察組口服降糖藥聯(lián)合較低劑量胰島素治療(日用胰島素總量≤30 U),隨訪6個(gè)月,比較兩組空腹血糖、餐后2 h血糖、糖化血紅蛋白、低血糖發(fā)生情況和心血管不良事件的發(fā)生率。結(jié)果與對(duì)照組相比,觀察組心血管不良事件發(fā)生率明顯下降(P0.05);兩組空腹血糖、餐后2 h血糖、糖化血紅蛋白及低血糖發(fā)生率等差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論對(duì)于老年T2DM合并冠心病患者,口服藥聯(lián)合小劑量胰島素治療明顯優(yōu)于單用大劑量胰島素治療,可明顯降低心血管不良事件的發(fā)生率且降糖效果無(wú)明顯降低。
[Abstract]:Objective to investigate the effects of combined oral antidiabetic drugs and insulin therapy on cardiovascular adverse events in elderly patients with type 2 diabetes mellitus (T2DM) complicated with coronary heart disease (CHD). Methods 102 patients with T2DM complicated with coronary heart disease were divided into observation group and control group. The control group was treated with insulin alone (total insulin 30 U / d), the observation group was treated with oral hypoglycemic drugs combined with low dose insulin (daily insulin 鈮，

本文編號(hào)：1981755