精品指南：2016 AACE/ACE指南：肥胖患者综合医疗管理的精华解析

2017-03-02 MedSci MedSci原创

2016年5月24日，美国临床内分泌医师学会（AACE）/美国内分泌学会（ACE）发布了肥胖治疗指南，正式提出了肥胖治疗以并发症为中心的分期治疗及临床指南，从真正意义上开启了肥胖症的医学治疗。具有实际的临床意义和指导价值，其完成了肥胖诊断和治疗从体质指数（BMI）向并发症为中心的转移，将肥胖的三级预防原则以及将肥胖按并发症分期（度）治疗等新的理念从理论过渡到了临床实践，并提高了指南的可行性。&

2016年5月24日，美国临床内分泌医师学会（AACE）/美国内分泌学会（ACE）发布了肥胖治疗指南，正式提出了肥胖治疗以并发症为中心的分期治疗及临床指南，从真正意义上开启了肥胖症的医学治疗。具有实际的临床意义和指导价值，其完成了肥胖诊断和治疗从体质指数（BMI）向并发症为中心的转移，将肥胖的三级预防原则以及将肥胖按并发症分期（度）治疗等新的理念从理论过渡到了临床实践，并提高了指南的可行性。

1.指南的主要亮点

肥胖的定义和诊断

肥胖的治疗方式

提出团队治疗理念

提出肥胖并发症及分期

2.指南尚须完善之处

应全面关注引起肥胖的各种因素

以并发症进行肥胖分期的科学性有待考证

应关注脂肪功能调节对于肥胖干预的作用

治疗方式仍须拓展

3.肥胖的治疗进展及前景

目前，对于肥胖仍无有效的干预手段和持久性的治疗方法，尤其是缺乏对并发症和不良反应的有效治疗，因此，仍然让科学家们一筹莫展，目前的进展主要集中在如下方面。

生活方式调整

药物治疗

手术治疗

指南原文

2016 AACE/ACE指南：肥胖患者综合医疗管理

中文翻译

2016 AACE/ACE指南：肥胖患者综合医疗管理（中文翻译版）

专家解读

2016 AACE/ACE肥胖治疗指南全方位解读

历年相关指南

2011CES 中国成人肥胖症防治专家共识

2013 AHA/ACC/TOS 成人超重与肥胖管理指南

2014 ACE 美国肥胖诊断和管理策略声明

视频课程

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2017-07-24 shanyongle

#ACE#

66 0
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2018-01-26 hongbochen

#解析#

63 0
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2017-09-08 zgwhgch

#AACE#

81 0
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2017-12-19 liuquan

#肥胖患者#

67 0
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2017-04-25 txqjm

谢谢了，学习

77 0
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2017-04-17 jyzxjiangqin

肥胖患者综合医疗管理。

95 0
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2017-04-08 txqjm

谢谢了，学习

0 0
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2017-03-24 txqjm

谢谢了，学习

85 0
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2017-03-04 xuruicheng

#医疗管理#

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