从指南的更新看代谢手术指征体重指数的变化趋势  

Comprehensive assessment of BMI cut-off point in metabolic surgery from the view of guideline

作　　者：陈静 童卫东 

机构地区：[1]第三军医大学第三附属医院高血压内分泌科,全军高血压代谢病中心重庆市高血压研究所,重庆400042 [2]第三军医大学第三附属医院胃肠外科,重庆400042

出　　处：《中国糖尿病杂志》2015年第9期776-779,共4页Chinese Journal of Diabetes

基　　金：国家自然科学基金(81370353);重庆市科委国际科技合作课题(cstc2011gjhz0002)

摘　　要：近年来,代谢手术因其对肥胖型T2DM具有较显著、持久的控糖、减重和缓解其他代谢异常和伴发疾病的疗效而备受关注。以往的临床实践和指南关注的焦点多集中于手术适应证,尤其是BMI切点上。近年来指南的BMI切点呈下降趋势,BMI分界值趋于模糊,这得益于增量的临床证据使临床工作者对代谢手术治疗意义的认识已不再局限于对肥胖症和糖尿病本身的改善,而更注重对患者远期多重代谢及心血管危险因素的综合防治和全面获益的诉求。Recently,metabolic surgery has received much concern for its notable and everlasting effectiveness on glucose control,weight loss and other metabolic disorders and concomitant diseases.Previous clinical practice and guidelines mostly focused on surgical indications,especially BMI cut-off point.In recent years,BMI cut-off point in guidelines has shown a downtrend and BMI cut-off value has tended to become obscure,which harvested from that clinical staff have realized the importance of comprehensive control for long-term multiple metabolism and risk factors and overall benefit of the patients through increased clinical evidences and no longer limited to the improvement of obesity and diabetes itself.

关 键 词：糖尿病 肥胖症 代谢手术 体重指数切点 

分 类 号：R656[医药卫生—外科学] R589.2[医药卫生—临床医学] R587.1