胃手术后姿势对葡萄糖耐量的影响。
Effect of posture on glucose tolerance after gastric surgery.
作者信息
Holdsworth C D, Hulme-Moir I, Thirumalai C
出版信息
Br Med J. 1972 Oct 28;4(5834):198-200. doi: 10.1136/bmj.4.5834.198.
Abstract
Oral glucose tolerance after either partial gastrectomy or vagotomy and pyloroplasty for duodenal ulcer was markedly affected by posture. Peak blood glucoses and the degree of reactive hypoglycaemia were greater in the erect than in the supine position. This is probably due to positional changes in gastric emptying, and our findings support the view that after gastric surgery alteration in gastric emptying rate is the main factor responsible for the change in oral glucose tolerance.
摘要
十二指肠溃疡患者行胃部分切除术或迷走神经切断术加幽门成形术后，口服葡萄糖耐量受姿势影响显著。直立位时的血糖峰值和反应性低血糖程度均高于仰卧位。这可能是由于胃排空的体位变化所致，我们的研究结果支持这样一种观点，即胃手术后胃排空率的改变是口服葡萄糖耐量变化的主要原因。
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本文引用的文献
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Carbohydrate metabolism in duodenal ulcer patients.十二指肠溃疡患者的碳水化合物代谢
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Gastric emptying and transit time as factors in postvagotomy diarrhea.胃排空和转运时间作为迷走神经切断术后腹泻的影响因素
Gut. 1969 Dec;10(12):1047.
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Pathophysiology of post-gastrectomy hypoglycaemia.胃切除术后低血糖的病理生理学
Br Med J. 1969 Nov 1;4(5678):257-9. doi: 10.1136/bmj.4.5678.257.
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Coated charcoal immunoassay of insulin.胰岛素的包被炭免疫测定法。
J Clin Endocrinol Metab. 1965 Oct;25(10):1375-84. doi: 10.1210/jcem-25-10-1375.
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Measurement of rate of gastric emptying using chromium-51.使用铬-51测量胃排空速率。
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