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高渗葡萄糖溶液的线性胃排空

Linear gastric emptying of hyperosmolar glucose solutions.

作者信息

Phillips W T, Schwartz J G, Blumhardt R, McMahan C A

机构信息

Department of Radiology, University of Texas Health Science Center, San Antonio 78284-7800.

出版信息

J Nucl Med. 1991 Mar;32(3):377-81.

PMID:2005444
Abstract

We performed a total of 12 gastric emptying studies on 6 normal subjects with a hyperosmolar (1.85 mol/l) 400-kcal glucose solution commonly used for diagnosing diabetes and a more dilute (0.62 mol/l) 200-kcal glucose solution. The gastric half-emptying time was greatly prolonged with both glucose solutions; 107 min for the (1.85 mol/l) 400-kcal glucose solution compared to 66 min for the more dilute (0.62 mol/l) 200-kcal glucose solution. Although the 200-kcal glucose solution contained one-half the amount of glucose (50 g) compared to the 400-kcal solution (100 g), the blood glucose values obtained during a 2-hr period were only slightly lower with the former solution. This study demonstrates significantly delayed gastric emptying of glucose solutions in normal subjects and a linear pattern of gastric emptying formerly associated only with solid meals.

摘要

我们对6名正常受试者进行了总共12次胃排空研究,使用的是常用于诊断糖尿病的高渗(1.85摩尔/升)400千卡葡萄糖溶液和更稀的(0.62摩尔/升)200千卡葡萄糖溶液。两种葡萄糖溶液的胃半排空时间均大大延长;(1.85摩尔/升)400千卡葡萄糖溶液为107分钟,而更稀的(0.62摩尔/升)200千卡葡萄糖溶液为66分钟。尽管200千卡葡萄糖溶液所含葡萄糖量(50克)仅为400千卡溶液(100克)的一半,但在2小时期间测得的血糖值,前者仅略低。这项研究表明,正常受试者中葡萄糖溶液的胃排空明显延迟,且胃排空呈现出一种此前仅与固体食物相关的线性模式。

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