从指南的更新看代谢手术指征体重指数的变化趋势倾.pdfVIP

・ ７７６ ・ ２０１５ ９ ２３ ９ Chin J Diabet es ，Sept em ber ２０１５ ，V ol.２３ ，N o.９ ・ ・ 【】 ，T ２DM 、、 。 ，BM I 。 BM I ，BM I ， ， 。 【】 ；；； doi ：１０.３９６９／.issn.１００６‐６１８７.２０１５.０９.００３ j Comprehensive assessment of BMI cut‐off point in metabolic surgery from the view of guideline CH E N J ing ，TON G We i‐dong .Cente r f o r H yp e rtens ion and M etabolic D iseases ，Dep artment of H yp e rtens ion and Endoc r inology ，D ap ing H osp ital ，Third M ilitary M e dical Univ e rs ity ，Chongqing 400042 ，China 【Abstract】 Recently ，metabolic surgery has received much concern for its notable and everlasting eff ectiveness on glucose control ，w eight loss and other metabolic disorders and concomitant diseases . Previous clinical practice and guidelines mostly focused on surgical indications ，especially BM I cut‐off point. In recent years ，BM I cut‐off point in guidelines has show n a dow ntrend and BM I cut ‐off value has tended to become obscure ，w hich harvested f rom 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 . 【Key words】 Diabetes mellitus ；Obesity ；M etabolic surgery ；BM I cut point ［１‐２］ ，T ２DM BM I 。 ，。 、 BM I ， ２０ ８０ 、、、 T ２DM ， 。 ， ，， ，BM I 。 ， BMI ＞ ５０ kg ／m２ ，＞ ，BM I 。 ４０ kg ／m２ ，２０１０ ADA BMI＞ ３５ kg ／m２ ［３］ BM I ，、、（ T２DM 。 ， ），BM I ， ５５％ ～ ９５％ T ２DM ，， ；， BM I ３０～ ３５ BM I 。 kg ／m２ T ２DM ， ；