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[肝素、肝素衍生物及类肝素对糖尿病患者血糖水平的影响]

[Effect of heparin, heparin derivatives and heparinoids on blood sugar levels of diabetes mellitus patients].

作者信息

Bozadzhieva E K, Markovski S G

出版信息

Probl Endokrinol (Mosk). 1978 Nov-Dec;24(6):23-30.

PMID:82965
Abstract

The effect of heparin, its derivatives--sodium iodoheparinate (dioparin), diethylaminoethyltheophylline heparinate (milheparin), and also heparinoids--eleparon, "thrombo" Goltzinger and Sp-51 degrees on the blood sugar level in patients with diabetes mellitus and in healthy persons was studied. The preparations were administered by drop intravenous infusion for 4 hours in a dose corresponding to 10 000 U of heparin activity. Glycemia, lipoproteid lipase, blood lipid fractions, and blood endogenous heparin levels were studied before and after the drug administration. In diabetic patients these preparations decreased the blood sugar level and effected the blood lipid fractions level. Potential mechanisms of the influence on the blood sugar level are discussed; four action mechanisms are assumed--the effect on insulin secretion and on the sensitivity to it, the effect on the liver, on disturbances of fat metabolism, and on increase of glucose use in the peripheral tissues.

摘要

研究了肝素及其衍生物——碘肝素钠(双香豆素)、氨茶碱肝素钠(密尔肝素),以及类肝素——依帕龙、“血栓”戈尔钦格和Sp - 51对糖尿病患者和健康人的血糖水平的影响。通过静脉滴注给药4小时,剂量相当于10000单位肝素活性。在给药前后研究了血糖、脂蛋白脂肪酶、血脂成分和血液内源性肝素水平。在糖尿病患者中,这些制剂降低了血糖水平并影响了血脂成分水平。讨论了影响血糖水平的潜在机制;假定有四种作用机制——对胰岛素分泌及其敏感性的影响、对肝脏的影响、对脂肪代谢紊乱的影响以及对外周组织葡萄糖利用增加的影响。

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