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一种用于治疗倾倒综合征的糖苷水解酶抑制剂。

A glycoside-hydrolase inhibitor in treatment of dumping syndrome.

作者信息

McLoughlin J C, Buchanan K D, Alam M J

出版信息

Lancet. 1979 Sep 22;2(8143):603-5. doi: 10.1016/s0140-6736(79)91665-9.

DOI:10.1016/s0140-6736(79)91665-9
PMID:90270
Abstract

BAY g 5421, a glycoside-hydrolase inhibitor, produced symptomatic improvement in ten patients with the dumping syndrome. 100 mg BAY g 5421, given before a 50 g sucrose meal, produced pronounced attenuation of both hyperglycaemic and hypoglycaemic phases of plasma glucose levels; and it greatly reduced the rise in plasma levels of gastric inhibitory polypeptide and insulin. Gastric emptying, studied simultaneously by an isotopic method, showed little difference between tests, suggesting that the improvement achieved was not mediated by slowing gastric emptying.

摘要

BAY g 5421是一种糖苷水解酶抑制剂,可使10例倾倒综合征患者的症状得到改善。在摄入50g蔗糖餐之前服用100mg BAY g 5421,可显著减轻血糖水平的高血糖期和低血糖期;并大大降低了血浆中胃抑制多肽和胰岛素水平的升高。同时用同位素方法研究胃排空,结果显示各试验之间差异不大,这表明所取得的改善并非由胃排空减慢介导。

相似文献

1
A glycoside-hydrolase inhibitor in treatment of dumping syndrome.一种用于治疗倾倒综合征的糖苷水解酶抑制剂。
Lancet. 1979 Sep 22;2(8143):603-5. doi: 10.1016/s0140-6736(79)91665-9.
2
Combined use of guar and acarbose in reduction of postprandial glycaemia.
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3
Response of serum levels of gastric inhibitory polypeptide and insulin to sucrose ingestion during long-term application of acarbose.
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Effect of acarbose on biochemical responses and clinical symptoms in dumping syndrome.阿卡波糖对倾倒综合征生化反应及临床症状的影响。
Digestion. 1985;31(2-3):89-96. doi: 10.1159/000199185.
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Improved metabolic profiles in insulin-treated diabetic patients given an alpha-glucosidehydrolase inhibitor.接受α-葡萄糖苷酶抑制剂治疗的胰岛素治疗糖尿病患者的代谢状况得到改善。
Br Med J. 1979 Jan 27;1(6158):220-1. doi: 10.1136/bmj.1.6158.220.
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Effect of the alpha-glucosidase-inhibitor BAY-g-5421 on blood glucose control of sulphonylurea-treated diabetics and insulin-treated diabetics.
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Therapeutic potential of alpha-glucosidase-inhibitors.α-葡萄糖苷酶抑制剂的治疗潜力
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[Acarbose--a new therapeutic principle in diabetes mellitus therapy].
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Scope and specificity of acarbose in slowing carbohydrate absorption in man.阿卡波糖在延缓人体碳水化合物吸收方面的作用范围和特异性。
Diabetes. 1981 Nov;30(11):951-4. doi: 10.2337/diab.30.11.951.

引用本文的文献

1
International consensus on the diagnosis and management of dumping syndrome.国际共识:倾倒综合征的诊断和管理。
Nat Rev Endocrinol. 2020 Aug;16(8):448-466. doi: 10.1038/s41574-020-0357-5. Epub 2020 May 26.
2
Gastroparesis and Dumping Syndrome: Current Concepts and Management.胃轻瘫和倾倒综合征:当前概念与管理
J Clin Med. 2019 Jul 29;8(8):1127. doi: 10.3390/jcm8081127.
3
[Dumping syndrome: Diagnostics and therapeutic options].[倾倒综合征:诊断与治疗选择]
Chirurg. 2015 Sep;86(9):847-54. doi: 10.1007/s00104-015-0047-3.
4
Pathophysiology, diagnosis and management of postoperative dumping syndrome.术后倾倒综合征的病理生理学、诊断与管理
Nat Rev Gastroenterol Hepatol. 2009 Oct;6(10):583-90. doi: 10.1038/nrgastro.2009.148. Epub 2009 Sep 1.
5
A risk-benefit appraisal of acarbose in the management of non-insulin-dependent diabetes mellitus.阿卡波糖治疗非胰岛素依赖型糖尿病的风险效益评估。
Drug Saf. 1994 Dec;11(6):432-44. doi: 10.2165/00002018-199411060-00005.
6
The incidence of the dumping syndrome following gastrojejunostomy with Roux-en-y anastomosis.采用Roux-en-y吻合术的胃空肠吻合术后倾倒综合征的发生率。
Postgrad Med J. 1982 Dec;58(686):760-2. doi: 10.1136/pgmj.58.686.760.
7
Disparity between glucose-dependent insulinotropic polypeptide and insulin responses in obese man.肥胖男性中葡萄糖依赖性促胰岛素多肽与胰岛素反应之间的差异。
Diabetologia. 1983 Nov;25(5):386-91. doi: 10.1007/BF00282515.
8
Effect of acarbose, pectin, a combination of acarbose with pectin, and placebo on postprandial reactive hypoglycaemia after gastric surgery.阿卡波糖、果胶、阿卡波糖与果胶联用及安慰剂对胃手术后餐后反应性低血糖的影响。
Gut. 1983 Sep;24(9):798-802. doi: 10.1136/gut.24.9.798.
9
Acute and short term effects of intestinal alpha-glucosidase inhibition on gut hormone responses in man.
Dig Dis Sci. 1987 Feb;32(2):139-44. doi: 10.1007/BF01297101.
10
Acarbose. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential.
Drugs. 1988 Mar;35(3):214-43. doi: 10.2165/00003495-198835030-00003.