University of Kentucky, College of Nursing, 751 Rose Street, Lexington, KY 40536, USA.
University of Kentucky, College of Nursing, 751 Rose Street, Lexington, KY 40536, USA.
Nurs Clin North Am. 2021 Dec;56(4):573-581. doi: 10.1016/j.cnur.2021.08.002.
The prevalence of obesity continues to rise and is caused by many factors. Obesity places patients at risk for high blood pressure, diabetes, heart disease, and cancer. Although obesity in the normal population is associated with increased morbidity and mortality, obesity in critically ill patients has lower mortality. This is referred to as the obesity paradox, and although not fully understood, involves several mechanisms that demonstrate a protective factor in critically ill obese patients. However, despite the benefit, the management of critically ill obese patients faces many challenges.
肥胖的患病率持续上升，其病因众多。肥胖使患者面临高血压、糖尿病、心脏病和癌症的风险。虽然普通人群中的肥胖与发病率和死亡率增加相关，但危重症患者中的肥胖与较低的死亡率相关。这被称为肥胖悖论，尽管其机制尚未完全阐明，但涉及到一些机制，这些机制表明危重症肥胖患者存在保护因素。然而，尽管存在益处，危重症肥胖患者的管理仍面临诸多挑战。
