摘要
代谢综合征(metabolic syndrome,MS)提出至今,就其定义及临床价值等争议不断,国内外学者围绕该争议进行了广泛探讨,但仍未达成共识,这无疑阻碍了MS的临床及基础研究的进一步发展。为解决MS的争议,推动MS的发展,本文从思维方式出发,借鉴系统论的视角,来审视和分析MS的相关争议。本文具体围绕MS是否需要独立的疾病命名、MS作为整体是否对心血管疾病(cardiovascular disease,CVD)的患病风险有更高的预测价值这两点争议,运用系统医学的元整体原理、非加和原理、系统质原理进行探讨,证实了MS的哲学合理性,为MS相关争议的解决及其临床应用和基础研究提供新的思路。
Since Metabolic Syndrome(MS)was proposed,there have been many debates on its definition and clinical value.However,no consensus has been reached on this topic,which undoubtedly hinders the further development of clinical and basic research on MS.In order to solve the disputes of MS and promote the development of MS,this paper starts from the way of thinking and draws lessons from the perspective of system theory to examine and analyze the re lated disputes of MS.Specifically,this paper focuses on the controversy of whether MS needs independent Disease naming,and whether MS as a whole has higher predictive value for the risk of Cardiovascular Disease(CVD),and dis cusses the meta-holistic principle,non-additive principle and systematic quality principle of systems medicine,which proves the philosophical rationality of MS,and provides new ideas for MS related dispute resolution,clinical applica tion and basic research.
作者
王利娟
黄栋芳
陈潇颖
李天赐
王振
叶放
WANG Lijuan;HUANG Dongfang;CHEN Xiaoying;LI Tianci;WANG Zhen;YE Fang(Department of Infectious Diseases,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu Province,210029 China;First Clinical College of Nanjing University of Chinese Medicine,Nanjing,Jiangsu Prov ince,210023 China)
出处
《系统医学》
2023年第1期184-188,共5页
Systems Medicine
基金
国家中医药管理局“国医大师周仲瑛传承工作室”建设项目(国中医药人教发[2010]59号)
全国和省名老中医药专家传承工作室基层工作站建设项目(苏中医科教[2018]3号)-周仲瑛传承工作室
江苏省(社会发展)重点研发计划(BE2019723)-基于智能技术支持的国医大师周仲瑛辨治重大疾病经验学习决策支持系统的构建及应用。
关键词
代谢综合征
争议
系统医学
系统论
复杂性疾病
Metabolic syndrome
Controversy
Systems medicine
Systems theory
Complex diseases