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[β-肾上腺素能阻滞剂对实验性糖尿病动物胰岛素诱导低血糖时皮质醇分泌的影响]

[Effect of beta-adrenergic blockade on cortisol secretion in insulin-induced hypoglycemia in animals with experimental diabetes mellitus].

作者信息

Szelachowska M, Kinalska I

机构信息

Kliniki Endokrynologii AM w Białymstoku.

出版信息

Pol Tyg Lek. 1990;45(19-20):376-9.

PMID:2255654
Abstract

An effect of the selective beta-adrenergic block with metoprolol and non-selective beta-adrenergic block with propranolol on the hypoglycaemia was investigated in 30 dogs of the control group and 30 dogs with alloxan diabetes. A significant increase in cortisol secretion was seen in the insulin-induced hypoglycaemia in both groups without beta-adrenergic block. It suggests an important role of cortisol in the normalization of glycaemia following an administration of the exogenous insulin. Beta-adrenergic block, especially with metoprolol, produces a significant increase in cortisol secretion confirming the report on direct effect of this beta-adrenolytic agent on cortisol secretion.

摘要

在30只对照组犬和30只四氧嘧啶糖尿病犬中,研究了美托洛尔选择性β-肾上腺素能阻滞和普萘洛尔非选择性β-肾上腺素能阻滞对低血糖的影响。在两组无β-肾上腺素能阻滞的胰岛素诱导低血糖中,皮质醇分泌均显著增加。这表明皮质醇在给予外源性胰岛素后血糖正常化中起重要作用。β-肾上腺素能阻滞,尤其是美托洛尔,会使皮质醇分泌显著增加,证实了关于这种β-肾上腺素能阻滞剂对皮质醇分泌有直接作用的报道。

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