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恩格列净对 2 型糖尿病患者心血管代谢风险因素的影响:一项短期观察性研究。

The effects of empagliflozin on cardiometabolic risk factors in patients with type 2 diabetes: A short-term observational study.

机构信息

Department of Pharmacology, KMCH College of Pharmacology, Coimbatore, Tamil Nadu, India.

Department of Diabetes and Endocrinology, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Pharmacol. 2021 May-Jun;53(3):229-233. doi: 10.4103/ijp.IJP_669_18.

Abstract

The aim of this study was to assess the short-term cardiometabolic outcomes in type 2 diabetes patients receiving empagliflozin in a tertiary referral center. Three hundred and fifteen consecutive patients started on empagliflozin were followed for a 4-month period after local ethics committee approval for a range of outcomes. Data were recorded on Microsoft Excel and transposed to SPSS for further analysis. Empagliflozin treatment resulted in statistically significant reductions in weight, glycosylated hemoglobin, and systolic and diastolic blood pressures along with favorable lipid profile outcomes over a 4-month period. The rates of discontinuation of the medications due to genomycotic infections were extremely low at 0.6% with no episodes of severe hypoglycemia or euglycemic diabetic ketoacidosis. Empagliflozin therapy, either in addition to other oral agents or insulin, seems to result in favorable outcomes in cardiometabolic risk factors in the immediate short term. Long-term follow-up of this cohort will shed light on cardiovascular outcomes and adverse effects in our population in real-world clinical practice.

摘要

本研究旨在评估在三级转诊中心接受恩格列净治疗的 2 型糖尿病患者的短期心脏代谢结局。在获得当地伦理委员会批准的一系列结局后,对 315 例连续开始接受恩格列净治疗的患者进行了为期 4 个月的随访。数据记录在 Microsoft Excel 中,并转移到 SPSS 进行进一步分析。恩格列净治疗在 4 个月内导致体重、糖化血红蛋白以及收缩压和舒张压均有统计学意义的降低,同时血脂谱结果也有所改善。由于真菌感染而停止用药的发生率极低,仅为 0.6%,且无严重低血糖或血糖正常的糖尿病酮症酸中毒发作。恩格列净治疗,无论是与其他口服药物还是胰岛素联合使用,似乎都能在短期内对心脏代谢危险因素产生有利的结果。对这一组群的长期随访将阐明我们在真实临床实践中的人群中的心血管结局和不良反应。

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