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阿卡波糖对2型糖尿病患者血脂影响的循证研究

陈龙 吴玉波

中国药房2013,Vol.24Issue(12):1112-1116,5.
中国药房2013,Vol.24Issue(12):1112-1116,5.DOI:10.6039/j.issn.1001-0408.2013.12.21

阿卡波糖对2型糖尿病患者血脂影响的循证研究

Evidence-based Study on the Effects of Acarbose on the Blood Lipids of Patients with Type 2 Diabetes

陈龙 1吴玉波1

作者信息

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摘要

Abstract

OBJECTIVE: To study the influence of acarbose on the blood lipids of patients with type 2 diabetes through Me-ta-analysis. METHODS: Related documents were retrieved from Pubmed, Elsevier, Springer, Wanfang database, CNKI, etc. Their publishing dates ranged from Jan. 1996 to Jul. 2012. The qualities of literatures were evaluated by two authors with Cochrane evaluation booklet, and Rev Man 5.0 software was used for Meta-analysis. RESULTS: 14 RCT involving 1 127 patients were included. Meta-analysis showed that compared with control group, acarbose could reduce the levels of TC [SMD= -0.17, 95% CI (-0.32, -0.03), P=0.02] and TG [SMD=-0.24, 95%CI(-0.37,-0.11), P<0.01] while decreased HDL-C level [SMD= 0.24, 95%CI(0.09,0.40), P<0.01]. There was no statistical significance in LDL-C between 2 groups [SMD=-0.11, 95%CI (-0.57,0.35), P=0.54]. CONCLUSION: The long-term administration of acarbose will make a significant decrease of TC and TG levels in type 2 diabetes patient while make a significant increase of the HDL-C. It shows no significant effect on LDL-C.

关键词

阿卡波糖/荟萃分析/2型糖尿病/血脂

Key words

Acarbose/ Meta-analysis/ Type 2 diabetes/ Blood lipid

分类

医药卫生

引用本文复制引用

陈龙,吴玉波..阿卡波糖对2型糖尿病患者血脂影响的循证研究[J].中国药房,2013,24(12):1112-1116,5.

中国药房

OACSCDCSTPCD

1001-0408

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