ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2024, Vol. 16 ›› Issue (5): 404-409.

• 综述 • 上一篇    下一篇

单纯性肥胖的炎症发生机制及中西医治疗进展

  

  1. 1.山西中医药大学第一临床学院2.山西中医药大学第三临床学院儿科教研室3.山西中医药大学第三临床学院

Mechanism of inflammation in simple obesity and the treatment progress in Chinese and western medicine

  1. 1The First Clinical College of Shanxi University of Chinese Medicine2The Third Clinical College of Shanxi University of Chinese Medicine
  • Online:2024-10-25 Published:2024-11-03

摘要:

单纯性肥胖是指人体摄入的能量大于消耗的能量,从而以脂肪形式积聚于机体内,临床主要表现为肥胖,可伴有糖脂代谢异常及内分泌紊乱。其发病率呈逐年上升趋势,已成为严重的社会公共健康卫生问题。单纯性肥胖是一种慢性低度炎症状态,其发生机制与机体内的内质网应激、线粒体功能障碍、氧化应激、巨噬细胞极化密切相关。对于本病,中西医均具有其干预和治疗手段,但现代医学认为对肥胖的治疗是结合饮食营养结构调整、运动、精神心理及药物的综合治疗,对患者的执行和依从性要求较高,而药物也有明显的副作用。中医对肥胖症有独特的理论认识,中药治疗也有其独特优势。本文将对单纯性肥胖的脂肪组织炎症发生机制及中西医治疗现状作一综述。

关键词: 单纯性肥胖, 炎症, 内质网应激, 巨噬细胞极化, 中西医治疗

Abstract: Simple obesity refers to the fact that the body′s intake of energy is greater than the consumption of energy,which is accumulated in the body in the form of fat,resulting in the main clinical manifestation of obesity,and it can be accompanied by abnormal metabolism of glucose and lipid and endocrine disorders.Its incidence is increasing year by year,and it has become a serious social public health problem.Simple obesity is a chronic low-grade inflammatory state,and its mechanism is closely related to endoplasmic reticulum stress,mitochondrial dysfunction,oxidative stress,and macrophage polarisation in the body.For this disease,both Chinese medicine and western medicine have their intervention and treatment means,but modern medicine believes that the treatment for obesity is a combination of dietary and nutritional structural adjustment,exercise,psycho-psychological and medication,which requires a high level of execution and compliance of the patient,and the medication also has obvious side effects.Chinese medicine has a unique theoretical understanding of obesity,and Chinese medicine treatment also has its unique advantages.In this paper,we will make a review of the mechanism of adipose tissue inflammation in simple obesity and the current status of Chinese and western medicine treatment.

Key words:

Simple obesity, Inflammation, Endoplasmic reticulum stress, Macrophage polarisation, Chinese and western medicine treatment