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人工胰腺治疗后胰岛素依赖型糖尿病患者红细胞的氧释放能力

The oxygen-release capacity of red blood cells in insulin-dependent diabetics after artificial pancreas.

作者信息

Torella R, Giunta R, Scognamiglio G, Giugliano D, Di Pinto P, Ceriello A, Grandillo F

出版信息

Acta Diabetol Lat. 1984 Jul-Sep;21(3):281-6. doi: 10.1007/BF02642902.

Abstract

Oxygen-release capacity of the red blood cells was investigated in non-acidotic insulin-dependent diabetics before and after the achievement of strict metabolic control with the aid of the artificial pancreas. P50std (oxygen tension at 50% oxygen saturation) values were low in basal condition and returned to normal after the 24-h treatment period. No significant changes were observed in the content of red cell 2,3-diphosphoglycerate nor in the acid-base balance. Only the labile form of glycosylated hemoglobin showed significant decreases after treatment. These results suggest that insulin-dependent diabetics may have a state of relative tissue hypoxia which can be easily overcome by the achievement of strict metabolic control.

摘要

在非酸中毒的胰岛素依赖型糖尿病患者中,借助人工胰腺实现严格的代谢控制前后,对红细胞的氧释放能力进行了研究。基础状态下P50std(氧饱和度为50%时的氧分压)值较低,在24小时治疗期后恢复正常。红细胞2,3-二磷酸甘油酸的含量和酸碱平衡均未观察到显著变化。治疗后仅不稳定形式的糖化血红蛋白显著降低。这些结果表明,胰岛素依赖型糖尿病患者可能存在相对组织缺氧状态,通过实现严格的代谢控制可轻易克服。

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