肥胖的药物治疗:有什么新进展?

E. Troshina, E. Ershova
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引用次数: 6

摘要

改变生活方式作为治疗肥胖这类普遍慢性病的基础,往往不足以在临床上成功地减轻体重,特别是在存在合并症和疾病(2型糖尿病、动脉粥样硬化性血脂异常、动脉高血压、缺血性心脏病、高尿酸血症和痛风、阻塞性睡眠呼吸暂停综合征、多囊卵巢综合征和其他月经不规律等)的情况下。直到最近,在我国可获得的治疗肥胖的药物只有两种,在存在这种或另一种药物的禁忌症或出现任何副作用的情况下,选择极为有限。2016年,一种用于治疗肥胖患者(包括病态或复杂的伴随疾病和病症)的新药在俄罗斯注册,这是一种剂量为3.0 mg的人胰高血糖素样肽-1 -利拉鲁肽类似物,补充了肥胖药物治疗的武库,并大大扩展了管理肥胖和超重(包括严重合并症患者)的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pharmacotherapy of obesity: what’s new?
The lifestyle change that underlies the treatment of such a prevalent chronic disease as obesity is often insufficient to successfully clinically relevant reduce body weight, especially in the presence of comorbid conditions and diseases (type 2 diabetes, atherogenic dyslipidemia, arterial hypertension, ischemic heart disease, hyperuricemia and gout, obstructive sleep apnea syndrome, polycystic ovary syndrome and other menstrual irregularities etc.). The availability in our country until recently, only two drugs for the treatment of obesity is extremely limited choice in the case of existing contraindications to this or another drug or the appearance of any side effects. The registration in Russia in 2016 of a new drug for the treatment of obese patients, including morbid or complicated concomitant diseases and conditions, an analogue of human glucagon-like peptide-1 — liraglutide in a dose of 3.0 mg, has replenished the arsenal of obesity pharmacotherapy and substantially extended capabilities of management of obesity and overweight including patients with severe comorbidities.
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