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减重治疗的伦理思考 被引量:3

Ethical Reflection on Weight Loss Treatment Strategies
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摘要 随着生活方式的改变,肥胖快速增长,已成为严重威胁健康的公共卫生问题,如何科学防治肥胖成为医务工作者面临的重大挑战。肥胖是否属于疾病?如何准确定义肥胖?肥胖的原因是什么?目前常见的减重治疗手段有哪些?用胃肠道手术的途径减重是否符合伦理?是否有过度医疗之嫌?是否符合最优化原则?本文从"疾病"的定义入手,浅议吃动平衡与肥胖、减重治疗方式以及其伦理问题,尤其是减重手术的伦理风险,并探讨肥胖的预防,寻求肥胖防治的新思路。 With the change of life style, the rapid growth of obesity has becomes a serious threat to the public health. Scientific prevention and treatment of obesity becomes a major challenge to healthcare workers. Whether or not obesity is a disease? How to accurately define obesity? What are the reasons that may cause obesity? What are the common means of losing weight at present? Is it consistent with ethics by using the way of gastrointestinal surgery for loss weight? Is there too much medical treatment? Whether this way conforms to the optimization principle? This article starts from the conception of "disease", then makes a discussion on the relationship between eating-movement balance and obesity, weight loss treatments as well as relevant ethical issues, especially the ethical risks of bariatric surgery. Meanwhile, we explore the prevention of obesity and try to find out new ideas for the prevention and treatment of obesity.
作者 袁文臻 陈伟
出处 《医学与哲学(B)》 2016年第4期95-96,F0003,共3页 Medicine & Philosophy(B)
基金 2013年度甘肃省卫生行业科研计划项目 项目编号:GSWST2013-16 2014年度兰州大学第一医院院内基金项目 项目编号:ldyyyng1201101
关键词 减重手术 肥胖 生活方式 手术 伦理 weight loss surgery, obesity, life style, operation, ethics
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