胃大部切除术后毕Ⅰ、Ⅱ式吻合对合并2型糖尿患者术后血糖及胰岛素用量的影响
摘要
2型糖尿病(NIDDM)目前主要的治疗方法仍是体育锻炼、饮食控制和药物治疗.尚无针对其根治性治疗的药物.国内外有手术治疗NIDDM的方法,如胃旁路手术(GBP)和胆胰转流术(BPD),可以使患者体重控制,同时糖尿病及合并症亦得到缓解和治愈.有资料提示:与捆扎带胃减容术比较,GBP术后血糖恢复较快,且术后胰岛素敏感性增强,而这些变化可能与"消化道转流"引起的继发内分泌效应有关.
出处
《浙江医学》
CAS
2010年第6期894-895,共2页
Zhejiang Medical Journal
参考文献4
-
1Detournay B,Cros S,Charbonnel B,et al.Managing type 2 diabetes in France:the ECODIA survey[J].Diabetes metab,2000,26(5):363-369.
-
2Pories W J,Swanson M S,MacDonald K G.et al.W ho would have thought it? An operation proves to be the nlost effective therapy for adult-onset diabetes mellitus[J].Ann Surg,1995,222(3):339-350.
-
3梁玉河,杨维桢,杨晓军,张世民.胃大部切除毕2式胃空肠吻合术对Ⅱ型糖尿病的治疗作用[J].齐齐哈尔医学院学报,2009,30(16):1969-1970. 被引量:3
-
4所剑,于云雷,王权.胃切除术后不同消化道重建方式对2型糖尿病患者治疗效果的临床回顾性研究[J].内分泌外科杂志,2009,3(1):35-37. 被引量:5
二级参考文献21
-
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[J]. Ann Surg, 1995,222:339-350.
-
2Pories WJ, MacDonald KG Jr, Flickinger EG, et al. Is type Ⅱ diabetes mellitus (NIDDM) a surgical disease [J]? Ann Surg, 1992,215 : 633 - 642.
-
3Sugerman HJ, Wolfe LG, Sica DA, et al. Diabetes and hypertension in severe obesity and effects of gastric bypass-induced weight loss[J]. Ann Surg, 2003,237 : 751 - 756.
-
4Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis[J]. Journal of the American Medical Association, 2004,292: 1 724- 1 737.
-
5Sjostrom L, Lindroos AK, Pehonen M, et,al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery[J]. New England Journal of Medicine, 2004,351 : 2 683-2 693.
-
6Peeters A, Barendregt J J, Willekens F,et al. Obesity in adulthood and its consequences for life expectancy: a life-table analysis[J]. Annals of Internal Medicine,2003,138: 24-32.
-
7Haslam DW & James WP. Obesity[J]. Lancet,2005,366: 1 197-1 209.
-
8Bult MJ, van Dalen T, Muller AF. Surgical treatment of obesity[J]. Eur J Endocrinol,2008,158(2) : 135-45.
-
9Nasland E, Baekman L, Hoist JJ, et al. Importance of small bowel peptides for the improved glacose bolism 20 years after jejuno-ileal bypass for obesity[J]. Obes Surg, 1998,8:293.
-
10Mason EE. Ⅱ eal transposition and entroglucagon/GLP- 1 in obesity (and diabetic ?)[J]. Obes Surg,1999,9:223.
共引文献6
-
1张学利,陈宗祐,黄文海,李先玮,黄忠明,周联明,章勇.胃旁路术对2型糖尿病的临床治疗作用[J].中国临床医学,2009,16(3):480-482. 被引量:7
-
2殷士良,王小华,张海涛.胃转流手术对超重2型糖尿病患者血糖影响因素分析[J].医学临床研究,2011,28(1):45-47.
-
3朱胜利.胃癌根治消化道重建术对2型糖尿病的治疗作用[J].中国现代药物应用,2011,5(8):27-29. 被引量:4
-
4梁宗潮,杨晓军,高鹏.胃癌根治消化道重建术对2型糖尿病的治疗作用[J].中国现代医学杂志,2011,21(26):3314-3317. 被引量:2
-
5刘金华,王利,刘丹阳.十二指肠旷置手术前后糖化血红蛋白和C肽的变化研究[J].中外医疗,2013,32(7):14-14.
-
6刘金华,王利,刘丹阳.胃癌合并糖尿病患者手术术式的选择[J].中国医药指南,2020,18(3):1-2. 被引量:2
-
1易睿.对上尿路结石合并2型糖尿患者进行微创经皮肾镜取石术的效果研究[J].当代医药论丛,2015,13(24):17-18. 被引量:3
-
2冯苏,贾高磊,王小凯,田志龙.胆胰转流术改善2型糖尿病的研究进展[J].基础医学与临床,2014,34(2):278-281. 被引量:3
-
3杨柯,姜海蓉.不同术式治疗2型糖尿患者胆囊结石的疗效分析[J].中国普通外科杂志,2013,22(2):223-225. 被引量:5
-
4刘赵琪,翁山耕.外科手术治疗2型糖尿病:肠-胰岛轴机制和展望[J].实用医学杂志,2008,24(18):3268-3269. 被引量:16
-
5马晓峰,胡继民,左利平,岳原,孔小燕.奥曲肽治疗重症急性胰腺炎疗效分析[J].卫生职业教育,2008,26(3):144-145. 被引量:3
-
6王贵良,邱萍,徐林芳,韩明,文萍,龚敏,文剑波.生长抑素联用丹参或乌司他丁治疗重症急性胰腺炎疗效观察[J].重庆医学,2016,45(6):731-733. 被引量:36
-
7徐茹华,邓尚新.奥曲肽治疗重症急性胰腺炎的应用研究[J].基层医学论坛,2012,16(34):4500-4502.
-
8侯旭东,柴琛,李玉民,李世雄.乌司他丁治疗急性胰腺炎的临床研究[J].临床外科杂志,2001,9(4):222-223. 被引量:2
-
9刘洋,田晓峰.2型糖尿病手术治疗机制的研究进展[J].大连医科大学学报,2011,33(6):611-616. 被引量:2
-
10王瑛,秦斐,刘良田.腹腔镜下肥胖病人胃减容术的麻醉体会[J].中国麻醉与镇痛,2002,4(4):280-281.