简介：摘要目的探讨老年糖尿病通过阿卡波糖和甘精胰岛素治疗的安全与疗效.方法研究我院在２０１４年６月至２０１５年６月期间收治的８０例老年糖尿病患者,分为对照组和观察组各４０例,其中对照组运用门冬胰岛素３０治疗,观察组运用阿卡波糖联合甘精胰岛素治疗,而后分析两组患者在血糖和糖化血红蛋白等相关指标上的差异.结果在餐前血糖、餐后２h血糖以及HbAlc等指标上,观察组均低于对照组,p＜０．０５;低血糖发生率上,观察组为７．５％,对照组为２７．５％,p＜０．０５.结论老年糖尿病通过阿卡波糖和甘精胰岛素治疗可以有效的保证治疗效果,减少不安全情况.关键词老年糖尿病;阿卡波糖;甘精胰岛素;安全性;治疗疗效AcarboseandinsulinglargineandefficacyofsecuritySenileDiabetesAbstractObjectiveToinvestigatetheacarboseandinsulinglarginetreatmentsafetyandefficacyinelderlydiabetes．MethodsInourhospitalfromJune２０１４toJune２０１５duringthe８０casesadmittedtoelderlydiabeticpatientsweredividedintocontrolgroupandobservationgroup４０cases,including３０intheconＧtrolgroupusinginsulinaspartthetreatmentgroupusingArcawaveglucoseinsulinglargine,andthenanalyzethedifferencesinthetwogroupsofpatientsbloodglucoseandglycatedhemoglobin,andotherrelatedindicators．ResultsIntheFPG,２hPGandHbAlcotherindicators,theobservationgroupwerelowerthanthecontrolgroup,p＜０．０５;theincidenceofhypoglycemiaintheobservationgroupwas７．５％inthecontrolgroupwas２７．５％,p＜０．０５．ConclusionTheelderlydiaＧbeticbKyeyacwarobrodsseandinsulinglarginetreatmentcanbeeffectivelyguaranteed,reducinginsecurity．Elderlydiabetic;Acarbose;Glargine;Safety;Therapy中图分类号R４７１文献标识码B文章编号１００８－６３１５(２０１５)１０－０１５１－０２