回顾性分析六君子汤联合司美格鲁肽对初诊2型糖尿病肥胖患者脂质蓄积指数的影响OA
Retrospective Analysis of the Effect of Combined Use of Six Gentlemen Decoction and Semaglutide on the Lipid Accumulation Index in Obese Patients with Type 2 Diabetes Mellitus at the First Diagnosis
目的:探讨六君子汤联合司美格鲁肽对 2 型糖尿病肥胖患者血糖、血脂水平及脂质蓄积指数的影响.方法:回顾性分析 2023 年 3 月—2025 年 6 月于厦门市杏林医院就诊的 96 例初次诊断 2 型糖尿病肥胖患者临床资料,根据治疗方法分为对照组(常规 2 型糖尿病生活饮食管理+司美格鲁肽皮下注射,48 例)与观察组(在对照组治疗基础上联用六君子汤口服,48 例).比较两组血糖、血脂控制效果及脂质蓄积指数(LAP)情况.结果:治疗后观察组血糖、血脂及胰岛素抵抗指数(HOMA-IR)改善效果优于对照组,LAP、不良反应发生率明显低于对照组,以上差异有统计学意义(P<0.05);BMI略低于对照组,差异无统计学意义(P>0.05).结论:六君子汤联合司美格鲁肽治疗 2 型糖尿病肥胖患者能够进一步提高对患者血糖、血脂的控制能力,同时有助于减少患者体内脂肪蓄积.
Objective:To investigate the effect of combined use of Liujunzi decoction and semaglutide on glucose,blood lipid levels and lipid accumulation index in obese patients with type 2 diabetes mellitus.Method:The clinical data and treatment of 96 obese patients type 2 diabetes mellitus who were initially diagnosed from March 2023 to June 2025 in the hospital were retrospectively analyzed.According to the of treatment methods,they were divided into observation group and control group.The control group(48 cases)was treated with routine type 2 diabetes lifestyle and dietary management subaneous injection of semaglutide,and the observation group(48 cases)was treated with oral administration of Liujunzi decoction on the basis of the control.The blood glucose and blood lipid control effect and lipid accumulation index were compared between the two groups.Result:After treatment,the improvement effects of blood glucose,blood lipid and insulin resistance index(HOMA-IR)in the observation group were better than those in the control group,and the incidences of LAP and adverse reactions were significantly lower than those in the control group.The above differences were statistically significant(P<0.05),while BMI was slightly lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion:The combined use of Liujunzi decoction and semaglutide in treatment of obese patients with type 2 diabetes mellitus can further improve the ability to control blood glucose and blood lipid in patients,and help to reduce fat accumulation in patients which is valuable for application and promotion.
余亚信;李晨瑶;陈婧;陈秋旻;颜迁州
厦门市杏林医院 福建 厦门 361020厦门市杏林医院 福建 厦门 361020厦门市杏林医院 福建 厦门 361020厦门市杏林医院 福建 厦门 361020厦门市杏林医院 福建 厦门 361020
六君子汤司美格鲁肽2型糖尿病肥胖血糖脂质蓄积指数
Liujunzi decoctionSemaglutideType 2 diabetesObesityBlood glucoseLipid accumulation index
《中外医学研究》 2026 (13)
130-133,4
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