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硫酸鹰爪豆碱输注对非胰岛素依赖型(2型)糖尿病患者的降血糖作用。

Plasma glucose lowering effect of sparteine sulphate infusion in non-insulin dependent (type 2) diabetic subjects.

作者信息

Paolisso G, Sgambato S, Passariello N, Pizza G, Torella R, Tesauro P, Varricchio M, D'Onofrio F

机构信息

Istituto di Gerontologia e Geriatria, Naples, Italy.

出版信息

Eur J Clin Pharmacol. 1988;34(3):227-32. doi: 10.1007/BF00540948.

Abstract

Sparteine sulphate, given i.v. as a bolus of 15 mg/ml plus 90 mg in 0.9% NaCl 100 ml over 60 min, increases plasma insulin and decreases plasma glucose and adrenaline in non-insulin dependent (Type II) diabetic subjects. The hypoglycaemic effect was also evident in the presence of a high plasma glucose level produced by Biostator changing glucose infusion from 20.2 +/- 2.8 to 26.4 +/- 4.2 mg.kg-1.min-1 (p less than 0.01), and it was potentiated by simultaneous infusion of arginine. No additional effect of sparteine on the peripheral sensitivity to insulin were detected by the euglycaemic, hyperinsulinaemic glucose clamp technique, as the glucose infusion rate (3.1 +/- 0.8 vs 2.6 +/- 1.2 mg.kg-1.min-1) was not statistically significant different in the last 60 min of the experiment. It is concluded that sparteine sulphate enhances beta-cell secretion, causing a fall in the plasma glucose concentration.

摘要

硫酸司巴丁以15毫克/毫升的大剂量静脉注射,再加上90毫克溶于100毫升0.9%氯化钠溶液中在60分钟内输注,可使非胰岛素依赖型(II型)糖尿病患者的血浆胰岛素增加,血浆葡萄糖和肾上腺素降低。在通过生物定标仪将葡萄糖输注速率从20.2±2.8改变为26.4±4.2毫克·千克⁻¹·分钟⁻¹产生高血浆葡萄糖水平的情况下,降血糖作用也很明显(p<0.01),并且同时输注精氨酸可增强该作用。通过正常血糖、高胰岛素血糖钳夹技术未检测到硫酸司巴丁对胰岛素外周敏感性的额外影响,因为在实验的最后60分钟内葡萄糖输注速率(3.1±0.8对2.6±1.2毫克·千克⁻¹·分钟⁻¹)在统计学上无显著差异。结论是硫酸司巴丁增强β细胞分泌,导致血浆葡萄糖浓度下降。

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