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术前用药、麻醉、年龄和体重对人离体骨骼肌葡萄糖摄取的影响。

The influence of premedication, anaesthesia, age and weight on glucose uptake into human isolated skeletal muscle.

作者信息

Kirby M J, Leighton M, Turner P

出版信息

Br J Clin Pharmacol. 1976 Apr;3(2):299-304. doi: 10.1111/j.1365-2125.1976.tb00607.x.

Abstract

The effect of the anaesthetic procedures and of the sex, age and weight of each patient on glucose uptake and glycogen content of human skeletal muscle has been studied in vitro in the presence and absence of insulin. Statistical analysis indicated that the relationships between age and both glucose uptake and the response to insulin were significant, older patients in general having higher uptakes. The blucose uptake was highly correlated with the three obesity indices (ponderal index, body mass index and percentage of the ideal weight). The anaesthetic agents had no significant effect on glucose uptake. The choice of premedication appeared to have a small effect on the basal glucose uptake level, but as the choice of premedication was also age related and age itself was a significant factor, this effect may not be of importance. It is concluded that the age and the degree of obesity of the patients ought to be taken into account when studying samples of human muscle.

摘要

在有胰岛素和无胰岛素存在的情况下,已在体外研究了麻醉程序以及每位患者的性别、年龄和体重对人体骨骼肌葡萄糖摄取和糖原含量的影响。统计分析表明,年龄与葡萄糖摄取以及对胰岛素的反应之间的关系具有显著性,一般而言,年龄较大的患者摄取量较高。葡萄糖摄取与三个肥胖指数(体格指数、体重指数和理想体重百分比)高度相关。麻醉剂对葡萄糖摄取没有显著影响。术前用药的选择似乎对基础葡萄糖摄取水平有轻微影响,但由于术前用药的选择也与年龄有关,而年龄本身是一个重要因素,所以这种影响可能并不重要。结论是,在研究人体肌肉样本时,应考虑患者的年龄和肥胖程度。

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本文引用的文献

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Indices of obesity derived from body weight and height.源自体重和身高的肥胖指数。
Br J Prev Soc Med. 1967 Jul;21(3):122-8. doi: 10.1136/jech.21.3.122.
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Indices of relative weight and obesity.相对体重和肥胖指数。
J Chronic Dis. 1972 Jul 1;25(6):329-43. doi: 10.1016/0021-9681(72)90027-6.

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