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钠-葡萄糖共转运蛋白 1 和 2 抑制剂对 2 型糖尿病患者心血管和肾脏结局的影响:一项荟萃分析更新。

Effects of sodium-glucose cotransporter 1 and 2 inhibitors on cardiovascular and kidney outcomes in type 2 diabetes: A meta-analysis update.

机构信息

Division of Cardiology, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.

Department of Medicine, University of Mississippi, Jackson, MS.

出版信息

Am Heart J. 2021 Mar;233:86-91. doi: 10.1016/j.ahj.2020.12.007. Epub 2020 Dec 29.

Abstract

In this report, we aim to provide an updated meta-analysis of the sodium-glucose cotransporter 2 (SGLT2) inhibitors trial data with the new trial data on sotagliflozin, a first-in-class dual SGLT1 and SGLT2 inhibitor. We searched Medline, Cochrane library, and Embase databases for randomized clinical trials comparing cardiovascular and kidney outcomes between SGLT2 and dual SGLT1/2 inhibitors and placebo. Nine randomized clinical trials with a total of 60,914 patients with type 2 diabetes were included. In patients with type 2 diabetes, the use of SGLT2 and dual SGLT1/2 inhibitors improves the cardiovascular and kidney outcome.

摘要

在本报告中,我们旨在提供钠-葡萄糖共转运蛋白 2(SGLT2)抑制剂试验数据的最新荟萃分析,并纳入新型 SGLT1 和 SGLT2 双重抑制剂索格列净的新试验数据。我们检索了 Medline、Cochrane 图书馆和 Embase 数据库,以查找比较 SGLT2 抑制剂和双重 SGLT1/2 抑制剂与安慰剂在心血管和肾脏结局方面的随机临床试验。共有 9 项包含 60914 例 2 型糖尿病患者的随机临床试验被纳入分析。在 2 型糖尿病患者中,SGLT2 和双重 SGLT1/2 抑制剂的使用可改善心血管和肾脏结局。

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