[1]包薇萍 刘超.钠-葡萄糖协同转运蛋白-2抑制剂有效性和安全性再认识[J].国际内分泌代谢杂志,2018,38(03):183-187.[doi:10.3760/cma.j.issn.1673-4157.2018.03.010]
 Bao Weiping,Liu Chao.An update on the efficacy and safety of sodium-glucose co-transporter 2 inhibitors[J].International Journal of Endocrinology and Metabolism,2018,38(03):183-187.[doi:10.3760/cma.j.issn.1673-4157.2018.03.010]
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钠-葡萄糖协同转运蛋白-2抑制剂有效性和安全性再认识()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
38
期数:
2018年03期
页码:
183-187
栏目:
临床研究
出版日期:
2018-05-20

文章信息/Info

Title:
An update on the efficacy and safety of sodium-glucose co-transporter 2 inhibitors
作者:
包薇萍 刘超
210028 南京中医药大学附属中西医结合医院内分泌科; 江苏省中医药研究院
Author(s):
Bao Weiping Liu Chao
Departmentof Endocrinology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine; Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing 210028, China
关键词:
钠-葡萄糖协同转运蛋白-2抑制剂 2型糖尿病 药物治疗
Keywords:
Sodium-glucose co-transporter 2 inhibitors Type 2 diabetes mellitus Drug therapy
DOI:
10.3760/cma.j.issn.1673-4157.2018.03.010
摘要:
钠-葡萄糖协同转运蛋白-2(SGLT-2)抑制剂是一类新的口服糖尿病治疗药物,其通过增加葡萄糖在尿液中的排泄发挥降糖作用。无论单药治疗还是与其他降糖药物联用,临床证据均已证实其降糖的有效性。此外,SGLT-2抑制剂还被证实具有心血管获益、肾保护作用、减轻体重及降低血压等降糖外作用。但临床医生仍需重视SGLT-2抑制剂可带来的少见但危险的潜在不良反应,包括泌尿系生殖道感染、糖尿病酮症酸中毒、下肢截肢风险增加。
Abstract:
As a newly developed calss of oral antidiabetic drugs, sodium glucose co-transporter 2(SGLT-2)inhibitors have a unique mechanism of action leading to excretion of glucose in the urine and subsequent lowering of plasma glucose.Evidence from clinical trials has suggested promising efficacy when used as momotherapy or in combination with any other antihyperglycemic medications. Moreover, SGLT-2 had been demonstrated to have beneficial effects on the cardiovascular system, as well as to play a role in renal protection, and reduce body weight and blood pressure except lowering blood glucose. However, physicians should be aware of the rare but dangerous potential adverse effects when treated with SGLT-2 inhibitor, such as urinary tract infection and genital infections, diabetic ketoacidosis, increased risk of leg and foot amputations.

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备注/Memo

备注/Memo:

通信作者:刘超,Email:liuchao@nfmcn.com
更新日期/Last Update: 2018-03-30