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优化手术治疗2型糖尿病的疗效——多学科团队强化围手术期及术后的管理 被引量：6

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摘要 对于内分泌科医师而言,糖尿病是慢性病,需要终身服药治疗,所需药物的剂量及种类也会随着病程的延长、病情进展而增加.即便这样,糖尿病的达标率仍不容乐观,我国的达标率不足40％[1],在欧美国家也不足50％[糖化血红蛋白（HbA1c）＜7％][2],至于血糖、血压和血脂同时达标的患者比例就更低了.而手术治疗2型糖尿病是国外学者对病态（极重度）肥胖患者进行减重手术治疗后的意外收获.Pories等[3]对病态性肥胖患者采用胃旁路术后14年的随访观察中发现手术除能有效减重外,还能使血糖得到有效的控制,部分甚至＆quot;痊愈＆quot;（不再需要降糖药物治疗）.Meta分析发现减重手术可使60％ ～ 85％的糖尿病、高血压、血脂异常和睡眠呼吸暂停综合征得到缓解[4-5],同时还能显著降低与糖尿病相关的死亡风险[6-7],减少药物及整体健康管理的花费[8-9].
作者 汪志红 李启富
机构地区 重庆医科大学附属第一医院内分泌科
出处 《中华糖尿病杂志》 CAS CSCD 2014年第3期145-147,共3页 CHINESE JOURNAL OF DIABETES MELLITUS
基金 国家临床重点专科建设项目
关键词 2型糖尿病 围手术期 手术治疗 健康管理 术后 睡眠呼吸暂停综合征 疗效 优化
分类号 R587.1 [医药卫生—内分泌]
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  • 1Kouris-Blazos A,Wahlqvist ML. Health economics of weight management:evidence and cost[J].Asia Pacific Journal of Clinical Nutrition,2007,(z 1):S329-S338.
  • 2National Audit Office. Tackling obesity in England:report by the Comptroller and Auditor General[M].London:Stationery Office,2001.
  • 3Rotellar F,Pastor C,Baixauli J. Laparoscopic bariatric surgery:proximal gastric bypass[J].An Sist Sanit Navar,2005,(z 3):S33-S40.
  • 4Wickremesekera K,Miller G,Naotunne TD. Loss of insulin resistance after Roux-en-Y gastric bypass surgery:a time course study[J].Obesity Surgery,2005.474-481.
  • 5Zander M,Madsbad S,Madsen JL. Effect of 6-week course of glucagon-like poptide 1 on glyaemic control,insulin sensitivity,and beta-cell function in type 2 diabetes:a parallel-group study[J].LANCET,2002.824-830.
  • 6Adams TD,Gress RE,Smith SC. Long-term mortality after gastric bypass surgery[J].New England Journal of Medicine,2007.753-761.
  • 7Nguyen NT,Varela JE,Sabio A. Reduction in prescription medication costs after laparoscopic gastric bypass[J].American Surgeon,2006.853-856.
  • 8Potteiger CE,Paragi PR,Inverso NA. Bariatric surgery:shedding the monetary weight of prescription costs in the managed care arena[J].Obesity Surgery,2004.725-730.
  • 9Dixon JB,O' Brien PE. Changes in comorbidities and improvements in quality of life after LAP-BAND placement[J].American Journal of Surgery,2002.S51-S54.
  • 10Dixon JB,O' Brien PE. Lipid profile in the severely obese:changes with weight loss after lap-band surgery[J].Obeses Research,2002.903-910.

共引文献4

同被引文献59

  • 1马志强,于健春,康维明,史冬雷.重症肥胖患者减重手术的围手术期管理及随访[J].中国医学科学院学报,2010,32(1):20-22. 被引量：9
  • 2Perna M, Romagnuolo J, Morgan K, et al. Preoperative hemoglo- bin Alc and postoperative glucose control in outcomes after gas- tric bypass for obesity [J]. Surg Obes Relat Dis, 2012, 8(6): 685-690.
  • 3Kashyap SR, Diab DL, Baker AR, et al. Triglyceride levels and not adipokine concentrations are closely related to severity of nonalcoholic fatty liver disease in an obesity surgery cohort [J]. Obesity (Silver Spring), 2009,17(9): 1696-1701.
  • 4Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and non- surgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinolo- gists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery[J]. Endocr Pract, 2013,19(2): 337-372.
  • 5Becattini C, Agnelli G, Manina G, et al. Venous thromboembo- lism after laparoscopic bariatric surgery for morbid obesity: clini- cal burden and prevention [J]. Surg Obes Relat Dis, 2012, 8(1): 108-115.
  • 6Winegar DA, Sherif B, Pate V, et al. Venous thromboembolism after bariatric surgery performed by Bariatric Surgery Center of Excellence Participants: analysis of the Bariatric Outcomes Lon- gitudinal Database [J].Surg Obes Relat Dis, 2011, 7(2): 181-188.
  • 7Brotman DJ, Shihab HM, Prakasa KR, et al. Pharmacologic and mechanical strategies for preventing venous thromboembolism after bariatric surgery: a systematic review and meta-analysis [J]. JAMA Surg,2013,148(7): 675-786.
  • 8Sarwer DB, Moore RH, Spitzer JC, et al. A pilot study investigat- ing the efficacy of postoperative dietary counseling to improveoutcomes after bariatric surgery [ J ]. Surg Obes Relat Dis, 2012,8 (5): 561-568.
  • 9Sasse KC, Ganser J, Kozar M, et al. Seven eases of gastric per- foration in Roux-en-Y gastric bypass patients: what lessons can we learn?[J]. Obes Surg, 2008,18(5): 530-534.
  • 10Moize VL, Pi-Sunyer X, Mochari H, et al. Nutritional pyramid for post-gastric bypass patients [J]. Obes Surg, 2010, 20(8): 1133-1141.

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中华糖尿病杂志
2014年 第3期

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