Division of Hypertension, the First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, 471003, China.
Division of Endocrinology, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang, 471000, China.
J Hum Hypertens. 2019 Apr;33(4):327-339. doi: 10.1038/s41371-018-0134-2. Epub 2018 Nov 15.
The antidiabetic effect of empagliflozin in patients with type 2 diabetes mellitus has been explored in several trials. We performed this meta-analysis determining the effects of empagliflozin on blood pressure, uric acid, estimated glomerular filtration rate, blood lipids, blood glucose, and body weight in patients with type 2 diabetes mellitus. We searched three electronic databases (Pubmed, Web of Science, and Cochrane Central) for all published articles evaluating the effects of empagliflozin on blood glucose or blood pressure in subjects with type 2 diabetes mellitus. Total 5781 patients were included in 12 randomized controlled trials with a follow-up of 28 ± 22 weeks. Empagliflozin 10 or 25 mg reduced systolic and diastolic blood pressure, uric acid, hemoglobin A1c, fasting plasma glucose, and body weight in patients with type 2 diabetes mellitus (all p < 0.001). There were no differences for changes of estimated glomerular filtration rate between empagliflozin 10 or 25 mg and placebo in these patients (all p > 0.05). In conclusion, empagliflozin reduces systolic and diastolic blood pressure, uric acid, hemoglobin A1c, fasting plasma glucose, and body weight. These data suggest the beneficial effects of empagliflozin on these cardiovascular risk factors in patients with type 2 diabetes mellitus.
恩格列净在 2 型糖尿病患者中的降糖作用已在多项试验中得到了探索。我们进行了这项荟萃分析,旨在确定恩格列净对 2 型糖尿病患者的血压、尿酸、估算肾小球滤过率、血脂、血糖和体重的影响。我们在三个电子数据库(Pubmed、Web of Science 和 Cochrane Central)中搜索了所有评估恩格列净对 2 型糖尿病患者血糖或血压影响的已发表文章。共有 5781 名患者纳入了 12 项随机对照试验,随访时间为 28±22 周。恩格列净 10 或 25mg 可降低 2 型糖尿病患者的收缩压和舒张压、尿酸、糖化血红蛋白、空腹血糖和体重(均 p<0.001)。在这些患者中,恩格列净 10 或 25mg 与安慰剂相比,估算肾小球滤过率的变化无差异(均 p>0.05)。总之,恩格列净可降低收缩压和舒张压、尿酸、糖化血红蛋白、空腹血糖和体重。这些数据表明,恩格列净对 2 型糖尿病患者的这些心血管危险因素具有有益作用。
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