代谢手术治疗糖尿病的光明前景与现实挑战惩.pdfVIP

２０１５ ９ ２３ ９ Chin J Diabet es ，Sept em ber ２０１５ ，V ol.２３ ，N o.９ ・ ７６９ ・ ・ ・ 【】 ， T ２DM ， ，。 ， 、。 ，、 ， 。 【】 ；； doi ：１０.３９６９／.issn.１００６‐６１８７.２０１５.０９.００１ j Prospect and challenge for metabolic surgery in treatment of type 2 diabetes mellitus ZH U Zhi‐ming.Dep artment of H yp ertens ion and Endoc r inology ，Dap ing Hosp ital ，Center f or H yp ertension and Metabolic Diseases ， Third M ilitary Medical Univers ity ，Chongqing Institute of H yp ertens ion ，Chongqing 400042 ，China 【Summary】 Clinical studies have confirmed that metabolic surgery is an effective method for the treatment of diabetes ，w hich can significantly relieve symptoms of type ２ diabetes ，improve various complications and reduce cardiovascular events . Currently ，major limitations of this technique in clinical practice in China include the lack of understanding on surgical benefits ，difficulty in selection of surgery indications and division‐based treatment modalities. T hus ，w e should ex plore a cooperation model of multi‐ discipline teams ，understand the mechanisms of type ２ diabetes remission by metabolic surgery and develop phy sician internist leading standard post ‐operation management. T hese strategies w ill g reatly promo te the development of metabolic surgery for type ２ diabetes in China. 【Key words】 M etabolic surgery ；Diabetes ；M ulti‐discipline cooperation ， 、。 ， T ２DM ，、 ［１‐５］ 。 、 ２０ ， 。 ，， 、 ［６‐７］ ［２ ，４‐６ ，１１‐１２］ 。 ， ４２％ ～ １ ， ９５％ ， HbA c ，、、 ２.９％ ，FPG PPG ３.８６ mmol ／L ， ［８‐９］ 。 ５ ，