Rogers I M, Davidson D C, Lawrence J, Ardill J, Buchanan K D
Arch Dis Child. 1974 Oct;49(10):796-801. doi: 10.1136/adc.49.10.796.
Plasma gastrin and glucagon levels were estimated in mothers after labour, and in their babies at birth and on the fourth day of life. The newly born baby appears to secrete gastrin independently and the plasma levels are higher on the fourth day of life. The cord gastrin level is lower when labour is induced or augmented by the intravenous infusion of oxytocin. Our results do not exclude the possibility that gastrin is transferred from mother to baby during a spontaneous labour. Such a maternal component of cord gastrin may be responsible for neonatal gastric hyperacidity. The mean cord glucagon level is higher than the maternal level at birth and the fourth day level is higher than the cord level. The C-terminal reactive glucagon-like immunoreactivity (C-GLI) in the cord blood is lower when oxytocin has been used during labour. Maternal or placental transfer of C-GLI during labour to the spontaneously born baby is one possible explanation of this finding. The raised glucagon levels on the fourth day may explain why there is low gastric acidity at this time despite the gastrin level being higher than at birth. No relation could be deduced between the C-GLI, i.e. pancreatic glucagon level, and the blood glucose level either at birth or on the fourth day of life.
对产后母亲及其新生儿出生时和出生后第四天的血浆胃泌素和胰高血糖素水平进行了评估。新生儿似乎能独立分泌胃泌素,且出生后第四天的血浆水平更高。静脉滴注催产素引产或加强宫缩时,脐血胃泌素水平较低。我们的研究结果并不排除在自然分娩过程中胃泌素从母亲转移至胎儿的可能性。脐血胃泌素的这种母体成分可能是新生儿胃酸过多的原因。出生时脐血胰高血糖素平均水平高于母亲水平,出生后第四天的水平高于脐血水平。分娩时使用催产素,脐血中C末端反应性胰高血糖素样免疫反应性(C-GLI)较低。分娩时母体或胎盘将C-GLI转移至自然分娩的新生儿是这一发现的一种可能解释。出生后第四天胰高血糖素水平升高,可能解释了尽管此时胃泌素水平高于出生时,但胃酸却较低的原因。在出生时或出生后第四天,无法推断出C-GLI(即胰腺胰高血糖素水平)与血糖水平之间的关系。