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类肝素对糖尿病患者血糖水平及血脂的影响

[Effect of heparinoids on the blood sugar level and blood lipids in diabetes mellitus].

作者信息

Markoski S

出版信息

Vutr Boles. 1977;16(6):52-8.

PMID:74910
Abstract

The paper is a clinical experimental work, studying the heparinoid effect upon blood sugar level, blood lipid fractions, endogenic heparin and lipo-brigther-becoming activity in diabetics. Heparinoids are applied in acute experiment. A total of 37 subjects were examined--22 diabetics with adult type of diabetes, 10 clinically healthy subjects and 5 diabetics examined only with 500 ml physiologic salt solution. The same patients were examined with heparin as well for a comparison. Blood sugar, NEFA, lipolyzing activity, total lipids, total cholesterol, beta-lipoproteins, total phospholipids, triglycerides and endogenic heparin were determined prior to and post infusion introduction of heparinoids. The results reveal that heparinoids have two basic biochemical effects decrease blood sugar lever in diabetics and change the blood lipid fraction level. They depend on the structural peculiarities of the preparations. Heparinoids stimulate heparin activity as well, through which they realize their biochemical effect to a certain extent. The decreasing effect on blood sugar level of heparinoids is stronger as compared with heparin.

摘要

本文是一项临床实验研究,旨在探讨类肝素对糖尿病患者血糖水平、血脂组分、内源性肝素及脂变亮活性的影响。类肝素应用于急性实验。共检测了37名受试者,其中22名成年型糖尿病患者、10名临床健康受试者以及5名仅输注500毫升生理盐水的糖尿病患者。同时对相同患者使用肝素进行检测以作对比。在输注类肝素前后分别测定血糖、非酯化脂肪酸、脂解活性、总脂质、总胆固醇、β-脂蛋白、总磷脂、甘油三酯及内源性肝素。结果显示,类肝素具有两种基本生化效应:降低糖尿病患者的血糖水平以及改变血脂组分水平。这些效应取决于制剂的结构特性。类肝素还能刺激肝素活性,从而在一定程度上实现其生化效应。与肝素相比,类肝素对血糖水平的降低作用更强。

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