阿替洛尔对高血压患者碳水化合物代谢的影响

A. Fortún Prieto
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引用次数: 0

摘要

β受体阻滞剂在治疗高血压方面已经使用了几十年,其中阿替洛尔康定是一种相对常见的选择。其副作用之一是碳水化合物代谢的改变,这目前被认为是其系统使用的障碍。我们对50名使用该药物作为单一治疗的患者进行了一项研究,以确定他们血糖控制的变化。测定禁食、禁食后即刻(30分钟)以及葡萄糖超负荷后第1和第2小时。在任何情况下都不存在糖尿病,然而,在禁食和禁食后立即采集的样本中,超过三分之一的患者的血糖水平在“糖耐量障碍”范围内,而在糖过量后的第1和第2小时,发现了显著水平的所述“糖耐度障碍”,这涉及潜在的风险蛋白糖基化。结论是,这种代谢紊乱在将阿替洛尔作为单一药物进行治疗的患者中非常常见,对于决定将该药物作为抗高血压药物的患者,可能需要充分注意生活方式的改变和饮食习惯。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Alterations in the Metabolism of Carbohydrates in Hypertensives Treated with Atenolol
Beta-blockers have been used for decades in the treatment of high blood pressure and among them, atenolol continúto being a relatively common option. Among its side effects is the alteration in carbohydrate metabolism, which is currently considered an obstacle to its systematic use. We conducted a study with 50 patients who use this drug as a single therapy to identify alterations in glycaemic control in them. Fasting, immediate post-pandrial (30 minutes) and 1 st and 2 nd hours after glucose overload were determined. In no case was the presence of diabetes mellitus, however, in more than a third of them there were plasma blood glucose levels in the range of “glucose tolerance disorder” in samples taken fasting and post-pandrial immediately, while in the 1st and 2nd hour after gluco seoverload, significant levels of said “glucose tolerance disorder” were identified, which involves a potential risk protein glycosylation It is concluded that this metabolic disorder is very common in patients who use atenolol as a single drug in their treatment and that adequate attention to lifestyle modifications and dietary habits is probably necessary in patients who decide to indicate this drug as an anti-hypertensive drug.
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