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作 者:袁振芳[1] 郭晓蕙[1] 杨文英[2] 翁建平[3] 张木勋[4] 贾伟平[5] 刘晓民[6] 邹大进[7] 宁光[8] 曾龙驿[9] 高妍[1]
机构地区:[1]北京大学第一医院内分泌科,100034 [2]北京中日友好医院内分泌科 [3]中山大学附属第一医院内分泌科,广州 [4]华中科技大学附属同济医院内分泌科,武汉 [5]上海交通大学第六人民医院内分泌科 [6]哈尔滨医科大学附属第一医院内分泌科 [7]第二军医大学长海医院内分泌科,上海 [8]上海交通大学医学院附属瑞金医院内分泌代谢科 [9]中山大学附属第三医院内分泌科,广州
出 处:《中华内分泌代谢杂志》2007年第1期47-50,共4页Chinese Journal of Endocrinology and Metabolism
摘 要:目的比较两种预混型人胰岛素制剂(甘舒霖30R与诺和灵30R)治疗2型糖尿病的有效性和安全性。方法由中国9家医院参加的多中心、随机、开放、对照临床研究,甘舒霖30R组人选2型糖尿病200例,诺和灵30R组100例,治疗12周。结果(1)治疗12周甘舒霖30R组和诺和灵30R组的HbA。c分别下降了1.08%和1.01%,2h餐后血糖分别下降了3.79和3.05mmol/L,空腹血糖分别下降2.0和2.2mmol/L,治疗前后有明显变化(均P〈0.05),但两组间比较差异无统计学意义(P〉0.05)。(2)低血糖事件分别为22%和14%,大部分为轻度。胰岛素抗体阳性率在两组间无差别。结论甘舒霖30R是一种治疗糖尿病的有效安全的胰岛素剂型。Objective To compare the efficacy and safety of Gansulin 30R and Novolin 30R in therapy of type 2 diabetes mellitus (DM). Methods A multicenter, randomized, and controlled clinical trial of Gansulin 30R and Novolin 30R was performed in 9 centers in China. Two hundred patients with type 2 DM received Gansulin 30R therapy and I00 patients received Novolin 30R for 12 weeks. Results ( I ) At the end of 12-week treatment, significant improvements in HbAlc, 2 h postprandial plasma glucose (2hPG) and fasting plasma glucose (FPG) levels were shown in both groups, HbAlc decreased 1. 08% and 1. 01%, 2hPG decreased 3.79 and 3.05 mmol/L and FPG decreased 2.0 and 2.2 mmol/L, in Gansulin 30R group and in Novolin 30R group respectively ( all P 〈 0.05). No difference existed between two groups (P 〉0.05). (2) Hypoglycemia incidences were 22% and 14% in Gansulin 30R and Novolin 30R respectively, most events were mild. The titers of anti-insulin antibodies were not obviously different between two groups. Conclusion Gansulin 30R is an effective and safe regimen in treating diabetes.
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