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[肝肠循环对术后早期肠内营养时外周血糖及激素浓度的影响]

[Effect of liver passage on peripheral glucose and hormone concentrations in early postoperative enteral nutrition].

作者信息

Butters M, Bittner R, Engst U, Roscher R, Beger H G

机构信息

Abteilung Allgemeine Chirurgie, Universität Ulm.

出版信息

Infusionstherapie. 1990 Apr;17(2):89-92.

PMID:2113040
Abstract

Early postoperative disorders of blood glucose homeostasis and its hormonal regulation do not allow a normal caloric enteral or parenteral substrate supply in this period. Eleven land pigs were investigated to find out how the surgical trauma of a partial gastrectomy influences the absorptive capacity of the small intestine and the hormonal regulation after intraduodenal administration of a glucose solution. We therefore conducted portal vein measurements to correlate the influence of the liver passage of early postoperative changes in blood glucose and hormonal levels. Our data show that neither the porto-arterial differences in blood glucose nor those in hormonal concentrations are significant. Therefore, we conclude that peripheral measurements can be used as good and reliable parameters for such investigations of absorption or hormonal regulation in the early postoperative period.

摘要

术后早期血糖稳态紊乱及其激素调节使得在此期间无法正常经肠内或肠外途径提供热量底物。对11只陆地猪进行了研究,以了解部分胃切除手术创伤如何影响小肠的吸收能力以及十二指肠内给予葡萄糖溶液后的激素调节。因此,我们进行了门静脉测量,以关联术后早期血糖和激素水平变化经肝脏途径的影响。我们的数据表明,血糖的门静脉 - 动脉差异以及激素浓度的差异均不显著。因此,我们得出结论,外周测量可作为术后早期吸收或激素调节此类研究的良好且可靠的参数。

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Infusionstherapie. 1990 Apr;17(2):89-92.
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