对肥胖型2型糖尿病患者体重控制的中西医治疗  

Chinese and Western Medicine Treatment of Obese Patients with Type 2 Diabetes Weight Control

作　　者：夏欣[1,2] 陈建峰[2,3] 江海丽 牛晶晶[2,3] 朱婷[2,4] 周里钢[2,4] 

机构地区：[1]上海同济大学附属东方医院内分泌科,上海200032 [2]上海中医药大学附属曙光医院糖尿病研究中心,上海200032 [3]上海浦东新区唐镇社区卫生服务中心,上海201210 [4]上海市浦东医院,上海201399

出　　处：《辽宁中医药大学学报》2014年第11期73-76,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81370932);上海市教委东方学者基金项目;上海市科委浦江学者基金项目(PJ[2011]0000839);美国MERCK IISP基金项目(#40313;#40309)

摘　　要：现代社会,伴随着饮食摄入量的增加及能量消耗的减少,肥胖及糖尿病的发病率逐年上升,在临床及动物实验中,人们观察到肥胖和糖尿病密切相关。在2型糖尿病患者中,肥胖者较不肥胖者的心血管风险及全因病死率分别上升44%和71%[1]。在肥胖型糖尿病患者的治疗中,要优先考虑最小化体重增加风险,它会影响患者治疗的安全性、依从性和费用。该文从糖尿病患者体重管理的重要性,中西医在肥胖型2型糖尿病患者体重控制的治疗进展等做一综述,旨在引起大家关注及重视2型糖尿病患者的体重管理。In modern society,accompanied by a reduction in food intake and increase energy expenditure,the incidence of obesity and diabetes increased year by year.In clinical and animal experiments,obesity and diabetes are closely related.In type 2 diabetes,cardiovascular risk of obesity is higher than those who are not obese,and all-cause mortality increased by 44% and 71% respectively.In the treatment of obese patients with diabetes,to give priority to minimize the risk of weight gain will affect the safety of patients,compliance and cost.This article review the importance of diabetes from weight management,treatment progress in Western and traditional Chinese medicine for obese patients with type 2 diabetes,designed to arouse concern and attention to weight management in type 2 diabetes patients.

关 键 词：糖尿病 肥胖 体重控制 心血管风险 中医药 

分 类 号：R587.1[医药卫生—内分泌]