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[氟烷全身麻醉和硬膜外镇痛下儿童碳水化合物代谢某些指标的动态变化]

[Dynamics of some indicators of carbohydrate metabolism under general anesthesia with fluorothane and epidural analgesia in children].

作者信息

Makarov A P, Fridliand M I, Kuzovlev V V, Mukhin V Kh, Iartseva O R

出版信息

Anesteziol Reanimatol. 1989 Jan-Feb(1):28-31.

PMID:2653112
Abstract

Combined halothane anesthesia (55 children) produced an insignificant increase in glucose and insulin blood levels, which might be accounted for by a depressing halothane effect on the brain cortex. Epidural analgesia (47 children) leads to a decrease in nociceptive impulsation, which results in a sharp increase in somatotropic hormone (STH) level with stable insulin blood concentration. Increased glucose blood level observed in the postoperative period after epidural analgesia may be accounted for by diabetogenic effect of STH.

摘要

复合氟烷麻醉(55例儿童)使血糖和胰岛素水平有不显著升高,这可能是由于氟烷对大脑皮层的抑制作用所致。硬膜外镇痛(47例儿童)可导致伤害性冲动减少,从而使生长激素(STH)水平急剧升高,而胰岛素血浓度保持稳定。硬膜外镇痛术后观察到的血糖水平升高可能是由于生长激素的致糖尿病作用。

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