健康受试者和糖尿病前期氢代谢紊乱个体对大剂量缺氧的机体反应。

O V Korkushko, V B Shatilo, V P Chyzhova, S S Naskalova, Ye D Osmak, A V Gremiakov, I A Antoniuk-Scheglova, G V Gavalko, N S Naumchuk
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引用次数: 1

摘要

评估机体对糖尿病前期氢代谢紊乱患者大剂量缺氧的反应。共有40名受试者,年龄在50-74岁之间,包括18名糖尿病前期氢代谢障碍患者和22名基本健康的受试者。所有患者均进行了大剂量低氧试验(呼吸含氧量12%的混合气体近20 min)。监测如下:血饱和度(SpO2)、呼吸频率、动脉血压和心率;和标准葡萄糖耐量试验(GTT)测定血浆葡萄糖和胰岛素浓度。与无氢代谢障碍的健康人相比,糖尿病前期氢代谢障碍患者在大剂量缺氧试验中SpO2下降更明显,呼吸系统和心血管系统功能更差。在重新分配研究对象后,在低氧试验中,具有令人满意的耐缺氧亚组(亚组1:SpO2大于80%)和降低的亚组(亚组2:SpO2小于80%)中,我们发现亚组2小时GTT后的空腹血糖水平明显高于亚组1。所得结果表明机体对缺氧的反应之间的相互关系,特别是在进行大剂量缺氧试验时动脉低氧血症的程度与空腹血糖和标准GTT指标之间的相互关系。糖尿病前期氢代谢紊乱患者的特点是对缺氧的抵抗力较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ORGANISM REACTION TO DOSED HYPOXIC HYPOXIA IN THE HEALTHY SUBJECTS AND INDIVIDUALS WITH PREDIABETIC HYDROGEN METABOLISM DISTURBANCES.

To assess organism reaction to dosed hypoxic hypoxia in the human invividuals with pre-diabetic hydrogen metabolism disturbances.Altogether 40 subjects, age range 50-74 years, were examined, including 18 persons with pre-diabetic hydrogen metabolism disturbances and 22 essentially healthy subjects. All of them underwent dosed hypoxic test (breathing gas mixture containing 12 % of oxygen during nearly 20 min. The following monitorings were performed: blood saturation (SpO2), breathing rate, arterial blood pressure and heart rate; and standard glucose tolerance test (GTT) for blood plasma glucose and insulin concentration. The patients with prediabetic hydrogen metabolism disturbances displayed a more significant decrease of SpO2 and less effective functioning of the respiratory and cardiovascular systems during dosed hypoxic test compared with the healthy individuals without hydrogen metabolism disturbances. After redistribution of study subjects relative the degree of SpO2 decrease at dosed hypoxic test in the subgroup with satisfactory resistance to hypoxia (subgroup 1: SpO2 more than 80 %) and with reduced (subgroup 2: SpO2 80 % or less) we have found that the fasting glucose level after 2-hour GTT was significantly higher in subgroup 2 versus subgroup 1. The obtained results indicate the interrelationship between organism reaction to hypoxia, in particular between the degree of arterial hypoxemia during performance of the dosed hypoxic test and the indices of fasting glycemia and at standard GTT. The patients with pre-diabetic hydrogen metabolism disturbances are characterized with lower resistance to hypoxic hypoxia.

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