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餐时血糖调节剂——瑞格列奈 被引量:21

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摘要 瑞格列奈为 (S) 2 乙氧基 4 ( 2 ( 3 甲基 1 ( 2 ( 1 六氢吡啶 )苯基 ) 丁烷基 ) 氨基 2 氧乙基 )苯甲酸的镜像体 ,是甲基甲胺苯甲酸家族的一员。它通过与胰岛 β细胞膜上分子量为 3 6ku的蛋白质结合 ,关闭ATP敏感性钾通道而刺激胰岛素释放。瑞格列奈吸收迅速 ,起效快而持续时间短 ,主要刺激餐时胰岛素分泌 ,因此可以餐时服用。其疗效与磺脲类药物相似 ,但在餐后血糖控制方面优于磺脲类 ,与二甲双胍相似 ,低血糖发生率较磺脲类低。
出处 《国外医学(内分泌学分册)》 2000年第5期225-228,共4页 Foreign Medical Sciences(Section of Endocrinology)
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