摘要
截至2002年,我国糖尿病患病率增至2.6%,在患病人群中,以2型糖尿病(T2DM)为主,占93.7%。目前的治疗包括糖尿病自我管理与教育(饮食、体力活动、生活方式干预等)、口服降糖药物、胰岛素治疗,但是效果都不太理想。
出处
《浙江临床医学》
2009年第6期606-608,共3页
Zhejiang Clinical Medical Journal
参考文献19
-
1Pories WJ, Swanson MS, MacDonald KG, et al. Who would have thought it? An operation proves to be the most effective therapy for adult- onset diabetes mellitus. Ann Surg, 1995,222:339 -352.
-
2Must A, Spadano, Coakley EH, et al. The disease burden associated with overweight and obesity. JAMA, 1999, 282:1523 - 1529.
-
3Cummings DE, Overduin J, Foster - Schubert KE, Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution. J Clin Endocrinol Metab,2004,89(6) :2608 -2615.
-
4Pender C, Goldfine ID, Tanner CJ, et al. Muscle insulin receptor concentrations in obese patients post bariatric surgery: relationship to hyperinsulinemia. Int J Obes Relat Metab Disord, 2004, 28:363 - 369.
-
5Houmard JA, Tanner C J, Yu C, et al. Effect of weight loss on insulin sensitivity and intramuscular long - chain fatty acyl - CoAs in morbidly obese subjects. Diabetes,2002,51:2959 -2963.
-
6Schauer PR, Burguera B, lkramuddin S, et al. Effect of laparoscopic Rouxen Y gastric bypass on type 2 diabetes mellitus. Ann Surg, 2003,238:467 - 484 ; discussion 84 - 85.
-
7Rubino F. Bariatric surgery: effects on glucose homeostasis. Curr Opin Clin Nutr Metab Care, 2006,9(4) :497 -507.
-
8Sarr, MG. Patients developed symptomatic gallstones between 3 and 21 months after Roux - en - Y gastric bypass ( RYGB ), neither prophylactic eholecystectomy nor treatment with ursodeoxycholic acid is necessary after open RYGB. Surg Obes Relat Dis, 2006, 2 (2) : 233.
-
9Nakazato M, Murakami N. A role for ghrelin in the central regulation of feeding. Nature, 2001,409:194 - 198.
-
10Broglio F, Arvat E, Benso A, et al. Ghrelin a natural GH secretagogue produced by the stomach, induces hyperglycemia and reduces insulin secretion in humans. J Clin Endoerinol Metab, 2001, 86: 5083 - 5086.
同被引文献36
-
1王永军,段华.腹腔镜手术与下肢静脉血栓的研究进展[J].中国妇产科临床杂志,2004,5(5):396-397. 被引量:15
-
2Cummings DE, Overduin J, Foster-Schubert KE. Gastric bypass for obesity: mechanisms of weight loss and diabetes resolution.J Clin En- docrinol Metab, 2004,89 ( 6 ) : 2608 -2615.
-
3熊凤岩 王效盐.关于肥胖病的护理指导[J].中华护理杂志,1985,20(5):283-285.
-
4中华医学会糖尿病学分会,中华医学会外科学分会.手术治疗糖尿病专家共识[J].中华糖尿病杂志,2011,3(3):205-208.
-
5American Diabetes Association. Standards of medical care in Diabetes--2009[J]. Diabetes Care, 2009,32 (suppl 1): S13-61.
-
6Rutledge R.The mini-gastric bypass:experience with the first 1,274 cases[J]. Obes Surg,2001, 11(3):276-280.
-
7Raj PP, Kumaravel R, Chandramaliteeswaran C, et al Laparoscopic duodenojejunal bypass with sleeve gastrectomy preliminary results of a prospective series from India[J] Surg Endosc,2012, 26(3):688-692.
-
8Sanchez-Pernaute A, Rubio Herrera MA, Perez-Aguirre E, et al. Proximal duodenal-Ileal end-to-side bypass with sleeve gastrectomy: proposed technique[J]. Obes Surg, 2007, 17 (12):1614-1618.
-
9Cummings DE, Overduin J, Foster-Schubert KE. Gastric by pass for obesity: mechanisms of weight loss and diabetes resolution[J]. J Clin Endocrinol Metab,2004,89(6):2608- 2615.
-
10Chiellini C, Rubino F, Castagneto M, et al. The effect of bilio-pancreatic diversion on type 2 diabetes in patients with BMI <35 kg/m2[J]. Diabetologia,2009,52(6):1027-1030.
引证文献2
-
1陈惠南,周慧芬,顾一君,王晓础.腹腔镜胃旁路术治疗肥胖症伴2型糖尿病患者的护理[J].中国实用护理杂志,2011,27(36):22-23. 被引量:6
-
2朱恒梁,蒋飞照,郑晓风,屠金夫.2型糖尿病外科治疗临床路径及其探讨[J].温州医学院学报,2012,42(5):424-431. 被引量:8
二级引证文献14
-
1吴良平,戴晓江,张玉新,屠伟峰,邱小文,康慧鑫,黄永滔,张红兵,李婷婷.非重度肥胖2型糖尿病的外科治疗(附200例报告)[J].腹部外科,2013(5):298-301. 被引量:1
-
2郑成竹,王鑫.代谢手术治疗肥胖症和2型糖尿病的相关问题[J].中华消化外科杂志,2013,12(12):894-896. 被引量:6
-
3谢海珊,朱畅,胡海英.腹腔镜Roux-en-Y胃旁路手术治疗肥胖症围手术期的护理干预效果评价[J].海南医学,2014,25(6):925-928. 被引量:10
-
4林卫红,许多,徐敏,屠金夫,朱恒梁.腹腔镜胃旁路术中护理问题评估及对策[J].中华护理杂志,2014,49(10):1273-1275. 被引量:11
-
5黄先涛.临床路径管理的发展与现状[J].中国病案,2014,15(11):22-24. 被引量:31
-
6徐小群,许多,徐昶.经肛辅助腹腔镜下全直肠系膜切除术治疗低位直肠癌的手术配合[J].实用医学杂志,2015,31(7):1196-1198. 被引量:25
-
7段玉贞.2型糖尿病临床路径管理体系的可行性研究[J].糖尿病新世界,2015,35(12):140-141.
-
8王彬郦.标准化饮食设计在2型糖尿病肥胖患者饮食治疗中的作用[J].检验医学与临床,2016,13(12):1695-1697. 被引量:21
-
9高茜茜,余彬.临床路径在职业病领域中的发展和现状[J].职业与健康,2016,32(23):3293-3296.
-
10朱茜.延续性护理对腹腔镜袖状胃切除术治疗肥胖症合并2型糖尿病近远期疗效的影响观察[J].国际护理学杂志,2017,36(1):58-60. 被引量:10
-
1魏开敏.饿得慌都是低血糖吗?[J].晚霞,2006(4):35-35.
-
2陈克俭.62例腹腔镜下胃旁路术治疗2型糖尿病患者的围手术期护理[J].辽宁医学院学报,2015,36(2):103-105. 被引量:9
-
3周建东,李韫韬,朱义.社区2型糖尿病患者口服降糖药物和胰岛素治疗的比较[J].社区卫生保健,2007,6(1):63-63.
-
4许岭翎.外出就餐时怎么用药最科学[J].糖尿病之友,2017,0(2):42-43.
-
5潘琦,郭立新.口服降糖药:1+1〉2[J].大众健康,2005(12):60-62.
-
6王存川,赵蕾.减重外科新概念——精准腹腔镜胃旁路术[J].中华胃肠外科杂志,2014,17(7):631-634. 被引量:20
-
7田建卿.选个“脾气相投”的降糖药[J].中国家庭医生,2008(9):25-25.
-
8周建民.责任的力量[J].糖尿病之友,2015,0(1):72-72.
-
9血糖波动大 缘起睡懒觉[J].糖尿病天地(文摘刊),2008(6):23-23.
-
10赖美铮,李美华,周晓华.社区医院护士糖尿病知识掌握情况及教育现状的调查研究[J].河南中医,2013,33(B04):178-179.