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胰岛素泵及其正确使用 被引量:5
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作者 张云峰 郭先科 《临床军医杂志》 CAS 2005年第5期638-639,共2页
关键词 糖尿病 肤岛素
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普鲁卡因静脉复合麻醉对红细胞丙酮酸激酶活性及其修饰因子的影响
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作者 屠伟峰 林桂芳 沈健藩 《医学研究生学报》 CAS 1993年第S1期40-43,共4页
对17例普鲁卡因静脉复合麻醉(IPBA)下行上腹部手术的患者观察了红细胞(RBC)丙酮酸激酶(PK)活性及其修饰因子如 RBC 内 ATP,ADP,Pi,Mg^(2+)及血浆葡萄糖/血清胰岛素(G/I)在围麻醉手术期的变化。结果表明,PK 在手术结束后10min 较麻醉前... 对17例普鲁卡因静脉复合麻醉(IPBA)下行上腹部手术的患者观察了红细胞(RBC)丙酮酸激酶(PK)活性及其修饰因子如 RBC 内 ATP,ADP,Pi,Mg^(2+)及血浆葡萄糖/血清胰岛素(G/I)在围麻醉手术期的变化。结果表明,PK 在手术结束后10min 较麻醉前明显下降(P<0.01),术后24 h 仍无回升趋势。RBC-Pi 的变化与 PK 无相关性(r=-0.0407,P>0.05),ATP/ADP 比值的变化与 PK 呈正相关趋势(r=0.680,P<0.1),RBC-Mg^(2+)的变化与 PK 呈明显负相关(r=-0.8166,P<0.05),G/I 的变化与 PK 呈负相关趋势(r=-0.6965,P<0.1)。我们认为 IPBA 和上腹部手术创伤可直接或(和)间接引起细胞内 PK 活性下降和代谢环境的紊乱,导致细胞对葡萄糖、Pi 的利用和 ATP 的合成障碍。围手术期糖酵解反应的抑制可能是应激性糖代谢障碍的重要机理之一,在手术后期和术后表现尤为明显。 展开更多
关键词 静脉复合麻醉 红细胞 丙酮酸激酶 肤岛素 腺苷酸
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Needle-free injection of insulin powder: delivery efficiency and skin irritation assessment 被引量:1
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作者 Chun-yu LI Zhe-wei WANG +11 位作者 Can TU Jia-bo WANG Bing-qian JIANG Qi LI Ling-na ZENG Zhi-jie MA Ping ZHANG Yan-ling ZHAO Ya-ming ZHANG Dan YAN Rui TAN Xiao-he XIAO 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2014年第10期888-899,共12页
Insulin is widely used in treating diabetes, but still needs to be administered by needle injection. This study investigated a new needle-free approach for insulin delivery. A portable powder needleless injection(PNI... Insulin is widely used in treating diabetes, but still needs to be administered by needle injection. This study investigated a new needle-free approach for insulin delivery. A portable powder needleless injection(PNI) device with an automatic mechanical unit was designed. Its efficiency in delivering insulin was evaluated in alloxan-induced diabetic rabbits. The skin irritation caused by the device was investigated and the results were analyzed in relation to aerodynamic parameters. Inorganic salt-carried insulin powders had hypoglycemic effects, while raw insulin powders were not effective when delivered by PNI, indicating that salt carriers play an important role in the delivery of insulin via PNI. The relative delivery efficiency of phosphate-carried insulin powder using the PNI device was 72.25%. A safety assessment test showed that three key factors(gas pressure, cylinder volume, and nozzle distance) were related to the amount of skin irritation caused by the PNI device. Optimized injection conditions caused minimal skin lesions and are safe to use in practice. The results suggest that PNI has promising prospects as a novel technology for delivering insulin and other biological drugs. 展开更多
关键词 Powder needleless injection INSULIN Transdermal drug delivery Skin irritation
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