课件：肥胖讲课.ppt

肥胖的诊断方法 The diagnostic method of obesity 最常用的指标是体质指数（ B MI） The common index is BMI. B MI=体重weight（ kg）／身高2（ m2）height 腰髋周径比值：腰部周径是指在第12肋下缘水平，髋部周径是指臀部最大周径，此值大于 0 .72可诊为肥胖 Ratio of waist-coxa girth: this ratio which is bigger than 0.72 can be diagnosed as Obesity. lumbar girth refers to the girth encircling the lower of 12th rib. The sciatic girth refers to the longest girth of buttocks . 肥胖按发病机制和病因可以分为单纯性（占95％）和继发性两类：单纯性肥胖包括体质性和获得性两类 Obesity can be classified as simple obesity and secondary obesity according to etiology and pathogenesis. The simple obesity includes constitutional type and obtaining type. 体质性肥胖是自童年起发病The constitutional obesity comes on from childhood. 获得性肥胖包括产后肥胖，更年期肥胖 （性腺功能减退）等 The obtaining obesity includes post partum fatness and menopause fatness (hypogonadism) etc. 继发性肥胖分为下丘脑病、垂体病、胰岛病、甲状腺功能减退症、肾上腺皮质功能亢进症、性腺功能减弱症等 The secondary obesity refers to fatness accompanying with hypothalamus disease, pituitary disease, pancreas disease, hypothyroid disease, -----, hypogonadism disease. 取得良好疗效的就诊者情况是 the situation of patients who took good effect is the fact that: ①单纯性肥胖者中的体质性肥胖占10.2％,获得性肥胖者占 35 .2％；产后肥胖患者占 5 .7％ The constitutional obesity accounts for 10.2％ and the obtaining obesity accounts for 35 .2％ of simple obesity patients, post partum fatness accounts for 5 .7％. ②继发性肥胖者中的更年期肥胖患者占10.3％ The menopause fatness accounts for 10.3％ of secondary obesity patients. ③超重者占 33. 5％ ，正常体重追求瘦身者，占 10％ The overweight- patients account for 33. 5％,the natural weight patients who want to lose weight account for 10％. ⑤其它占5. 3％ the others account for 5. 3％ 减肥机理-神经功能调整the mechanism of losing weight---regulating the function of nerve 控制下丘脑摄食中枢，抑制亢进的食欲和胃肠消化力，减少进食量 control hypothalamus --centrum, restrain sthenic appetite and digestion of stomach and intestine, reduce quantity of food. 抑制亢进的胃肠消化吸收机能，减少机体对能量的吸收，从而减少能量的摄入 restrain hyperfunction of digestion and absorbency of stomach and intestine, reduce absorption of organism to