医院体检中心基于柔性辟谷技术进行全链条闭环式体质量管理工作模式的初步研究
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摘要
目的探讨基于医院体检中心开展柔性辟谷体质量管理技术的应用研究。方法通过门诊直接招募志愿者,基于柔性辟谷技术建立以"前期体检评估、期间跟踪观察、结束后体检评估、全过程跟踪、阶段性体检评估、减重终点体检评估"的全链条闭环式体质量管理方案,初步评价该模式的可行性。结果柔性辟谷1周后,参与减重的柔性辟谷志愿者的体质量、腰围、体脂肪下降;血糖、血压、电解质钾、钠、氯、心肌酶谱、肝功能指标、肾功能中肌酐、尿素氮等指标均基本在生理范围,心电图正常,尿酮体阳性,尿酸升高,其中尿酸升高与柔性辟谷期间酮体增加相关。结论基于柔性辟谷技术的全链条闭环式体质量管理思路具有良好的可行性。
Objective To study the application of weight management based on flexible fasting approach at the physical examination center of hospital. Methods A full chain closed-loop body mass management scheme was established themed as "physical examination evaluation in early stage,follow-up observation during evaluation,physical examination evaluation,whole process follow-up,periodic physical evaluation,and physical examination evaluation at the end of weight loss"by recruiting volunteers directly in outpatient clinic,and its feasibility was initially evaluated. Results After1-week flexible fasting training,the participants had decreased body mass,waist circumference,and body mass; blood glucose,blood pressure,electrolyte potassium,sodium,chlorine,myocardial enzymes,liver function indicators,renal function indicators such as creatinine,urea nitrogen and other indicators were within physiological range,and electrocardiograph was normal. The participants had increased uric acid relating to the increase of ketone body during flexible fasting training,and positive urine acetone bodies. Conclusion Full chain closed-loop body mass management scheme based on flexible fasting has favorable feasibility.
Objective To study the application of weight management based on flexible fasting approach at the physical examination center of hospital. Methods A full chain closed-loop body mass management scheme was established themed as "physical examination evaluation in early stage,follow-up observation during evaluation,physical examination evaluation,whole process follow-up,periodic physical evaluation,and physical examination evaluation at the end of weight loss"by recruiting volunteers directly in outpatient clinic,and its feasibility was initially evaluated. Results After1-week flexible fasting training,the participants had decreased body mass,waist circumference,and body mass; blood glucose,blood pressure,electrolyte potassium,sodium,chlorine,myocardial enzymes,liver function indicators,renal function indicators such as creatinine,urea nitrogen and other indicators were within physiological range,and electrocardiograph was normal. The participants had increased uric acid relating to the increase of ketone body during flexible fasting training,and positive urine acetone bodies. Conclusion Full chain closed-loop body mass management scheme based on flexible fasting has favorable feasibility.
引文
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[2] Bckhed F,Ding H,Wang T,et al. The gut microbiota as an environmental factor that regulates fat storage[J]. Proc Natl Acad Sci USA,2004,101(44):15718-15723.
[3] Turnbaugh P J,Ley R E,Mahowald M A,et al. An obesityassociated gut microbiome with increased capacity for energy harvest[J]. Nature,2006,444(7122):1027-1031.
[4] Alang N H,Kelly C R. Weight gain after fecal microbiota transplantation[J]. Open Forum Infect Dis,2015,2(1):ofv004-ofv011.
[5] Arumugam M,Raes J,Pelletier E,et al. Enterotypes of the human gut microbiome[J]. Nature,2011,474(7353):666-678.
[6] Desai M S,Seekatz A M,Koropatkin N M,et al. A dietary fiber-deprived gut microbiota degrades the colonic mucus barrier and enhances pathogen susceptibility[J]. Cell,2016,167(5):1339-1353.
[7] Fetissov S O. Role of the gut microbiota in host appetite control:bacterial growth to animal feeding behaviour[J]. Nat Rev Endocrinol,2017,13(1):11-25.
[8]张成岗.当前慢病防控困境迫切呼唤新医学和菌心说[J].科技导报,2015,33(22):106-111.
[9]张成岗,巩文静.基于饥饿源于菌群的新发现将引发慢病防控突破性进展[J].科技导报,2017,35(21):43-48.
[10]巩文静,黄清健,高大文,等.柔性辟谷技术在青年人群体重控制中的应用[J].军事医学,2016,40(8):651-656.
[11]巩文静.柔性辟谷技术用于改善体重的临床观察研究[D].北京:中国人民解放军军事医学科学院,2017.
[12]张成岗,巩文静.柔性辟谷:一种可改善肥胖及相关慢性病的新技术[J].中国民康医学,2018,30(6):100-102.
[13]殷迪成,梁爱萍,黄茂辉.医院门诊服务创新评价[J].中国医院管理,2004,24(1):48-49.
[14]夏京艳.网络环境下医院门诊档案管理探究[J].管理观察,2016(5):190-192.
[15]王维民,程刚,谢杰,等.强化医院慢病管理服务的实践[J].中国医院,2017,21(3):79-80.
[16]王维民.综合性医院启动慢性非传染性疾病管理服务的探讨[J].中国医院管理,2011,31(6):63-64.
[17]李雪梅,刘荣梅,罗娜,等.专科医护人员在慢性肝病防治中的主力军作用[J].北京医学,2015,37(9):901-904.
[18]高圆圆,谢波,孙子林,等.医院-社区-患者-志愿者一体化慢病管理新模式的构建研究[J].中国全科医学,2013,16(22):2624-2626.
[19]刘荣梅,李雪梅,孟雯,等.基于某三级甲等医院慢性病管理平台的全程肝病防治模式探讨[J].中国社会医学杂志,2016,33(3):215-218.
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