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迷走神经刺激对狒狒血浆胰岛素和葡萄糖水平的影响。

The effect of vagal stimulation on plasma insulin and glucose levels in the baboon.

作者信息

Daniel P M, Henderson J R

出版信息

J Physiol. 1967 Sep;192(2):317-27. doi: 10.1113/jphysiol.1967.sp008302.

Abstract
  1. The concentration of insulin in the blood of fifteen fasting baboons, anaesthetized with pentobarbitone sodium, was measured by a specific radio-immunoassay method.2. The mean resting concentration of insulin was: inferior vena cava (IVC) 22 muu./ml. and splenic vein (after splenectomy) 140 muu./ml.3. Subdiaphragmatic stimulation of the cut right vagal trunk (at 10 impulses/sec, duration 1.5 msec, for 10 min) produced a mean increase of 50% over resting levels in IVC insulin concentration and an increase in splenic vein insulin of 30% over resting levels.4. The mean resting level of blood glucose in splenic vein blood was 89.4mg%, that in IVC blood was 79.4mg%. The difference is significant (P < 0.005).5. Vagal stimulation did not alter these glucose levels, so that insulin release following vagal stimulation is not secondary to hyperglycaemia.6. The increased insulin secretion following vagal stimulation might be expected to produce hypoglycaemia. Its failure to do so is discussed.
摘要
  1. 采用特异性放射免疫测定法,对15只戊巴比妥钠麻醉的空腹狒狒血液中的胰岛素浓度进行了测量。

  2. 胰岛素的平均静息浓度为:下腔静脉(IVC)22微单位/毫升,脾静脉(脾切除后)140微单位/毫升。

  3. 对切断的右迷走神经干进行膈下刺激(频率为10次/秒,持续时间1.5毫秒,共10分钟),导致下腔静脉胰岛素浓度比静息水平平均升高50%,脾静脉胰岛素比静息水平升高30%。

  4. 脾静脉血中血糖的平均静息水平为89.4毫克%,下腔静脉血中为79.4毫克%。差异具有显著性(P<0.005)。

  5. 迷走神经刺激并未改变这些血糖水平,因此迷走神经刺激后胰岛素释放并非继发于高血糖症。

  6. 迷走神经刺激后胰岛素分泌增加可能会导致低血糖症。文中对未出现低血糖症的原因进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22d/1365559/c687c78c593d/jphysiol01116-0070-a.jpg

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