治疗普拉德-威利综合征患者的多食症和肥胖症

Ilona Jastrzębska, Paulina Cuper, Michał Andrzej Kozicz, Krzysztof Bilecki, Hubert Gugulski, Michał Bado, Patrycja Nowoświat
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摘要

简介普拉德-威利综合征(PWS)是一种遗传性神经发育障碍疾病,其主要临床特征是多食和肥胖。肥胖会导致 PWS 患者的死亡率升高,因此,有效、安全地治疗 PWS 患者的多食症和肥胖症是 PWS 治疗的一个重要方面。研究目的本研究的目的是研究治疗 PWS 患者吞咽过度和肥胖症的新的和更标准的治疗方案。方法和材料:使用 PubMed 数据库进行了广泛的文献检索。只考虑了过去 5 年中的文章。搜索时使用的关键词为:Prader Willi 综合征、肥胖症、治疗。结果我们的研究表明,在治疗 PWS 患者的多食和肥胖症时,医疗专业人员可考虑使用药物治疗方案、手术和神经调节方案。此外,体育锻炼和环境控制有利于限制热量摄入和改善体重指数。此外,早期诊断并在儿童早期开始治疗有利于预防肥胖症的发展。然而,要确定哪些治疗方案最适合特定患者,还需要更多的研究。
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The treatment of hyperphagia and obesity in Prader-Willi Syndrome
Introduction: Prader-Willi Syndrome (PWS) is a genetic neurodevelopmental disorder, in which the central clinical characteristics are hyperphagia and obesity. Obesity leads to higher mortality rates in PWS patients and thus, effective and safe treatment of hyperphagia and obesity in PWS individuals is an important aspect of PWS therapy. Aim of the study: The aim of the study was to research both the new and the more standard treatment options of hyperphagia and obesity in PWS patients. Methods and Materials: An extensive literature search was conducted using PubMed database. Only articles from the past 5 years were taken into consideration. The keywords used during the search were: prader willi syndrome, obesity, treatment. Results: Our research showed that in the treatment of hyperphagia and obesity in PWS patients, health professionals may consider the use of pharmacological treatment options, surgery and neuromodulatory options. Moreover, physical activity and environmental control are beneficial in limiting caloric intake and improving body mass index. Furthermore, early diagnosis and thus starting treatment in early childhood are beneficial in preventing the progression of obesity. However, more research is needed to determine which treatment options are best suited for specific patients. 
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