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目的:评价二甲双胍治疗老年社区糖尿病疗效。方法:于本院2015年2月--2017年2月诊治的老年糖尿病患者中,随机选取61例作为样本,在控制饮食,服用常规磺脲类药物的基础上,给予二甲双胍治疗。结果:治疗后,患者空腹血糖值为(6.21±0.01)mmol/L,与治疗前的(10.23±0.06)mmol/L相比,6显著下降(p<0.05)。61例患者中,60例治疗有效,治疗有效率98.36%。2例患者发生并发症,并发症发生几率3.28%。结论:应将二甲双胍用于老年社区糖尿病的治疗中,促进患者血糖指标的恢复,提高治疗有效率,降低并发症发生几率,提高治疗安全性。
Objectives: To evaluate the efficacy of metformin in the treatment of elderly community-based diabetes mellitus. Methods: A total of 61 elderly diabetic patients diagnosed and treated from February 2015 to February 2017 in our hospital were randomly selected for the treatment of metformin on the basis of diet control and conventional sulfonylureas. Results: After treatment, the fasting blood glucose level was (6.21 ± 0.01) mmol / L, which was significantly lower than that before treatment (10.23 ± 0.06) mmol / L (p <0.05). Of the 61 patients, 60 were effective and the effective rate was 98.36%. Complications occurred in 2 patients and the incidence of complications was 3.28%. Conclusion: Metformin should be used in the treatment of elderly community diabetes mellitus, to promote the recovery of patients with glycemic index, improve treatment efficiency, reduce the incidence of complications and improve the safety of treatment.