中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
16期
170-172
,共3页
冠心病%2型糖尿病%阿托伐他汀钙
冠心病%2型糖尿病%阿託伐他汀鈣
관심병%2형당뇨병%아탁벌타정개
Coronary heart disease%Type 2 diabetes%Atorvastatin calcium
通过考察1例冠心病伴2型糖尿病患者服用他汀类药物治疗效果，研究阿托伐他汀在糖尿病患者中使用的合理性。患者入院时饭后血糖高达14.76 mmol/L，血糖监控表显示患者在22日中餐前，23日早餐、中餐前血糖均跃7 mmol/L，患者空腹血糖控制不佳，23日临床药师与医生查房建议患者加大甘精胰岛素用量，晚上皮下注射甘精胰岛素加至20 U，24日晚餐前后血糖仍跃7 mmol/L，血糖控制不佳。由此可知，本例患者应用他汀药物可能会导致患者血糖异常，但相对心血管不良风险，本例使用阿托伐他汀是合理的。
通過攷察1例冠心病伴2型糖尿病患者服用他汀類藥物治療效果，研究阿託伐他汀在糖尿病患者中使用的閤理性。患者入院時飯後血糖高達14.76 mmol/L，血糖鑑控錶顯示患者在22日中餐前，23日早餐、中餐前血糖均躍7 mmol/L，患者空腹血糖控製不佳，23日臨床藥師與醫生查房建議患者加大甘精胰島素用量，晚上皮下註射甘精胰島素加至20 U，24日晚餐前後血糖仍躍7 mmol/L，血糖控製不佳。由此可知，本例患者應用他汀藥物可能會導緻患者血糖異常，但相對心血管不良風險，本例使用阿託伐他汀是閤理的。
통과고찰1례관심병반2형당뇨병환자복용타정류약물치료효과，연구아탁벌타정재당뇨병환자중사용적합이성。환자입원시반후혈당고체14.76 mmol/L，혈당감공표현시환자재22일중찬전，23일조찬、중찬전혈당균약7 mmol/L，환자공복혈당공제불가，23일림상약사여의생사방건의환자가대감정이도소용량，만상피하주사감정이도소가지20 U，24일만찬전후혈당잉약7 mmol/L，혈당공제불가。유차가지，본례환자응용타정약물가능회도치환자혈당이상，단상대심혈관불량풍험，본례사용아탁벌타정시합리적。
The purpose of this experiment is by examining one case of coronary heart disease in patients with type 2 diabetes patients taking statin therapy to study the effect of atorvastatin use in diabetic patients is reasonable.Admission of patients up to 14.76 mmol/L postprandial glucose,blood glucose monitoring in the table shows that patients 22 fast-ing,before breakfast on the 23rd,the fasting blood glucose were > 7 mmol/L,fasting blood glucose control in patients with poor clinical pharmacists and physicians on the 23rd rounds advise patients to increase the amount of insulin glargine night subcutaneous insulin glargine was added to 20 U,blood sugar before and after dinner on the 24th is still greater than 7 mmol/L,poor glycemic control.It can be seen that the patients using statins may cause abnormal blood sugar,but with respect to adverse cardiovascular risk,in this case the use of atorvastatin is reasonable.
