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通过计算机控制的胰岛素输注系统(人工内分泌胰腺)比较外周和门静脉胰岛素输注途径。

Comparison of peripheral and portal routes of insulin infusion by a computer-controlled insulin infusion system (artificial endocrine pancreas).

作者信息

Botz C K, Leibel B S, Zingg W, Gander R E, Albisser A M

出版信息

Diabetes. 1976 Aug;25(8):691-700. doi: 10.2337/diab.25.8.691.

DOI:10.2337/diab.25.8.691
PMID:782981
Abstract

This study was undertaken to determine the different consequences of portal and peripheral routes of insulin administration by the artificial endocrine pancreas. Intraportal glucose was infused (10 mg./min./kg. for 60 minutes) in anesthetized normal and pancreatectomized dogs while blood glucose concentrations were monitored continuously. During computer-controlled insulin administration normal glucose tolerance was restored by both portal and peripheral routes of insulin delivery. There were also no significant differences in (1) glycemic patterns, (2) insulin infusion patterns, (3) peripheral IRI levels, and (4) total insulin requirements between the two routes. It is apparent that the peripheral route, which is more readily accessible than the portal route, may be an appropriate infusion site for an implantable or portable prosthesis for controlling blood glucose concentration.

摘要

本研究旨在确定人工内分泌胰腺经门静脉和外周途径注射胰岛素的不同后果。在麻醉的正常和胰腺切除犬中输注门静脉葡萄糖(10mg/分钟/千克,持续60分钟),同时连续监测血糖浓度。在计算机控制的胰岛素给药过程中,通过门静脉和外周途径输送胰岛素均可恢复正常糖耐量。在(1)血糖模式、(2)胰岛素输注模式、(3)外周IRI水平和(4)两种途径之间的总胰岛素需求量方面也没有显著差异。显然,外周途径比门静脉途径更容易接近,可能是用于控制血糖浓度的可植入或便携式假体的合适输注部位。

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1
Comparison of peripheral and portal routes of insulin infusion by a computer-controlled insulin infusion system (artificial endocrine pancreas).通过计算机控制的胰岛素输注系统(人工内分泌胰腺)比较外周和门静脉胰岛素输注途径。
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2
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Portal insulin delivery is superior to peripheral delivery in handling of portally delivered glucose.在处理经门静脉输送的葡萄糖方面,门静脉胰岛素输注优于外周输注。
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Insulin is required for the liver to respond to intraportal glucose delivery in the conscious dog.
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A comparison of the effects of selective increases in peripheral or portal insulin on hepatic glucose production in the conscious dog.选择性增加外周或门静脉胰岛素对清醒犬肝脏葡萄糖生成影响的比较。
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An artificial endocrine pancreas.一种人工内分泌胰腺。
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Insulin delivery methods: Past, present and future.胰岛素给药方法:过去、现在与未来。
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Design and Evaluation of a Robust PID Controller for a Fully Implantable Artificial Pancreas.用于完全植入式人工胰腺的鲁棒PID控制器的设计与评估
Ind Eng Chem Res. 2015 Oct 28;54(42):10311-10321. doi: 10.1021/acs.iecr.5b01237. Epub 2015 Jun 9.
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Design and in silico evaluation of an intraperitoneal-subcutaneous (IP-SC) artificial pancreas.腹腔-皮下(IP-SC)人工胰腺的设计与计算机模拟评估
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Clinical hurdles and possible solutions in the implementation of closed-loop control in type 1 diabetes mellitus.1型糖尿病闭环控制实施中的临床障碍及可能的解决方案
J Diabetes Sci Technol. 2011 Sep 1;5(5):1283-6. doi: 10.1177/193229681100500537.
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Artificial pancreas: past, present, future.人工胰腺:过去、现在与未来。
Diabetes. 2011 Nov;60(11):2672-82. doi: 10.2337/db11-0654.
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Insulin delivery route for the artificial pancreas: subcutaneous, intraperitoneal, or intravenous? Pros and cons.人工胰腺的胰岛素给药途径:皮下、腹腔内还是静脉内?利弊分析。
J Diabetes Sci Technol. 2008 Jul;2(4):735-8. doi: 10.1177/193229680800200429.
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Hepatic glucose production during intraperitoneal and intravenous closed-loop insulin regulation of blood glucose in type 1 (insulin-dependent) diabetic patients.1型(胰岛素依赖型)糖尿病患者在腹腔内和静脉内闭环胰岛素调节血糖期间的肝脏葡萄糖生成
Diabetologia. 1993 Nov;36(11):1185-90. doi: 10.1007/BF00401064.
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The effect of systemic venous drainage of the pancreas on insulin sensitivity in dogs.胰腺体静脉引流对犬胰岛素敏感性的影响。
J Clin Invest. 1993 Oct;92(4):1713-21. doi: 10.1172/JCI116758.
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Optimal glycaemic control in unrestrained diabetic dogs using programmed compound squarewave insulin infusions.使用程序化复合方波胰岛素输注对未受限制的糖尿病犬进行最佳血糖控制。
Med Biol Eng Comput. 1981 Jul;19(4):406-10. doi: 10.1007/BF02441303.
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Diabetologia. 1980 Nov;19(5):452-7. doi: 10.1007/BF00281825.