ѧÊõÌÃÊ×Ò³ | ÎÄÏ×ÇóÖúÂÛÎÄ·¶ÎÄ | ÂÛÎÄÌâÄ¿ | ²Î¿¼ÎÄÏ× | ¿ªÌⱨ¸æ | ÂÛÎĸñʽ | ÕªÒªÌá¸Ù | ÂÛÎÄÖÂл | ÂÛÎIJéÖØ | ÂÛÎÄ´ð±ç | ÂÛÎÄ·¢±í | ÆÚ¿¯ÔÓÖ¾ | ÂÛÎÄд×÷ | ÂÛÎÄPPT
ѧÊõÌÃרҵÂÛÎÄѧϰƽ̨Äúµ±Ç°µÄλÖãºÑ§ÊõÌà > ҽѧÂÛÎÄ > ÖÐҽѧÂÛÎÄ > ÖÐҽʳÁÆÑ§ÂÛÎÄ

Òûʳ¸ÄÉÆÆ¢¹¦ÄÜʧµ÷¶ÔÌÇÄò²¡µÄ·ÀÖÎ

À´Ô´£ºÁÉÄþÖÐÒ½Ò©´óѧѧ±¨ ×÷ÕߣººúÑÇçù;ͿƼ
·¢²¼ÓÚ£º2019-10-24 ¹²6844×Ö

¡¡¡¡Õª    Òª£º¡¡ÔÚÈËȺÖпªÕ¹½¡¿µ½ÌÓýÊÇ·ÀÖÎÌÇÄò²¡µÄÊ×Òª²ßÂÔ,ÒûʳÁÆ·¨ÊÇÌÇÄò²¡Ò»¼¶Ô¤·ÀµÄ»ù´¡,ÒÔ±æÖ¤Ê©Ê³¡¢±æÌåÖÊʩʳ¡¢ÒòÈ˶øÒìΪÀíÂÛ»ù´¡µÄÖÐҽʳÁÆÊÇÆäÖØÒª×é³É²¿·Ö¡£Ê³ÁÆ¿ÉÒÔ¸ÄÉÆÌÇÖ¬´úл¡¢¼õÇáÒȵºËصֿ¹¡£Æ¢ÎªºóÌìÖ®±¾,ÆøÑªÉú»¯Ö®Ô´,Ö÷ÔË»¯¼°ÉýÇå,ÖÐҽʳÁÆÍ¨¹ý±æÖ¤Ê©Öν¡Æ¢ÒæÆøÒÔ¸ÄÉÆ“Ƣʧɢ¾«”¡£ÌÇÄò²¡ÊôÏû¿Ê,ÒõÐéÔïÈÈΪ±¾,Ƣʧɢ¾«ÊÇÆä²¡Àíת¹é¡£Ì½Ì֓Ƣʧɢ¾«“ÓëÒȵºËصֿ¹Ïà¹ØÐÔ,ÒÔ²ûÃ÷ÖÐÒ½ÒûʳÁÆ·¨¸ÄÉÆÆ¢µÄ¹¦ÄÜ·ÀÖÎÌÇÄò²¡µÄ»úÀí¡£

¡¡¡¡¹Ø¼ü´Ê£º¡¡ÌÇÄò²¡; ÖÐҽʳÁÆ; Ƣʧɢ¾«; ÒȵºËصֿ¹;

¡¡¡¡Abstract£º¡¡Health education is the primary strategy to prevent and cure diabetes in the population. Diet therapy is the basis of primary prevention of diabetes. The diet therapy of traditional Chinese medicine based on the theory of differentiation of symptoms and signs,differentiation of physique and differentiation of people is an important part of diet therapy. Dietary therapy can improve glycolipid metabolism and reduce insulin resistance. Spleen is the foundation of acquired,the source of Qi and blood biochemistry. Nutrition is transfused to the whole body. Traditional Chinese medicine dietary therapy can improve spleen loss and disperse essence by treating spleen and Invigorating Qi according to syndrome differentiation. Diabetes mellitus belongs to the traditional Chinese medicine diabetes,Yin deficiency,dryness and heat are the basis,spleen loss of sperm is its pathological outcome. To explore the correlation between spleen loss and insulin resistance,so as to clarify the mechanism of improving spleen function and preventing diabetes mellitus by TCM diet therapy.

¡¡¡¡Keyword£º¡¡diabetes; dietetic therapy of TCM; spleen loss and essence dispersion; insulin resistance;

¡¡¡¡ÌÇÄò²¡ÊÇ»·¾³ÒòËØºÍÒÅ´«ÒòËØ³¤ÆÚ¹²Í¬×÷ÓõÄÂýÐÔ¼²²¡¡£ÔÚÎÒ¹úÌÇÄò²¡»¼²¡ÂÊÕýÔÚÖðÄêÉÏÉý,2013ÄêJAMAÎÄÕÂ֤ʵ[1],ÔÚÎÒ¹ú18Ëê¼°ÒÔÉÏÈËȺÌÇÄò²¡»¼²¡ÂÊΪ11.6%,ÌÇÄò²¡Ç°ÆÚ»¼²¡ÂÊΪ50.1%[1],ÌÇÄò²¡ÒѾ­³ÉΪ²»¿ÉºöÊÓ¸ºµ£×îÖØµÄ¼²²¡Ö®Ò»¡£´óÇìÑо¿20ÄêËæ·Ã·¢ÏÖ80%δ¸ÉÔ¤µÄÌÇÄò²¡Ç°ÆÚ¾ùת»¯³ÉÌÇÄò²¡,¶ÔÓÚ¸ÉÔ¤ÎÞЧµÄÈËȺÈçºÎ¸ÉÔ¤ÉÐÎÞ¶¨ÂÛ¡£Òò´Ë¶ÔÓÚǰÆÚÈËȺ½øÐÐÓÐЧ¸ÉÔ¤ÊǼõÉÙÌÇÄò²¡·¢ÉúµÄºËÐÄ»·½Ú[2]¡£¼ÈÍùÅ·ÃÀ¹ú¼ÒÑо¿±íÃ÷[3],ÏÞʳÁÆ·¨ÓÐÖúÓÚ¼²²¡µÄ·ÀÖÎ,°üÀ¨Ö¬·¾¸Î¡¢¸ßѪѹ¡¢·ÊÅÖ¡¢2ÐÍÌÇÄò²¡µÈ´úлÏà¹Ø¼²²¡,µ«ÔÚ¶ÔÓÚÖйúÈËÒûʳϰ¹ßµÄÑо¿ÉõÉÙ¡£½üÄêÀ´,Ëæ×ÅÎÒ¹úÎïÖÊÉú»îˮƽµÄÌáÉý,ÈËÃǶÔʳÎïµÄÐèÇó²»½ö½öÊÇα¥,ÓªÑø¹ýÊ£¡¢²»Á¼Éú»îϰ¹ßºÍÈË¿ÚÀÏÁ仯³ÉΪÖ÷Òª½¡¿µÃ¬¶Ü[4]¡£¹«¹²ÎÀÉú¹ÜÀí²ßÂÔÓ¦¸Ã×¢ÖØ»ù´¡¡¢¾­¼ÃÓÐЧµÄ·½·¨,ͨ¹ýºÏÀíÒûʳ,Ñø³É½¡¿µÉú»îϰ¹ßÀ´Ô¤·ÀÌÇÄò²¡µÄ·¢Éú¡£±ÊÕß´ÓÖÐÒ½ÒûʳÁÆ·¨ÈëÊÖ,̽ÌÖ¸ÄÉÆÆ¢µÄ¹¦ÄÜʧµ÷¶ÔÌÇÄò²¡µÄ·ÀÖΡ£´ÓÖÐҽѧ½Ç¶ÈÖ¸µ¼Òûʳ,ΪÌÇÄò²¡×ۺϷÀ¿Ø´ëÊ©Ìṩ¸ü¶à˼·¡£

¡¡¡¡1¡¢ Òûʳ²»½ÚÊDz¡Òò

¡¡¡¡¡¶ËØÎÊ·Ææ²¡ÂÛÆª¡·ÔÆ:“´ËÎ寸֮ÒçÒ²,ÃûԻƢð÷¡£·òÎåζÈë¿Ú,²ØÎ¸,ƢΪ֮ÐÐÆä¾«Æø,½òÒºÔÚÆ¢,¹ÊÁîÈ˿ڸÉÒ²;´Ë·ÊÃÀÖ®Ëù·¢Ò²¡£´ËÈ˱ØÊýʳ¸ÊÃÀ¶ø¶à·ÊÒ²,·ÊÕß,ÁîÈËÄÚÈÈ;¸ÊÕß,ÁîÈËÖÐÂú,¹ÊÆäÆøÉÏÒç,תΪÏû¿Ê¡£”ÏÖ´úҽѧÑо¿·¢ÏÖ,Éú»îˮƽÌá¸ß,Òûʳ½á¹¹µÄ¸Ä±ä,ÈÈÁ¿ÉãÈëµÄ¹ý¶à,ÄÜÁ¿ÏûºÄµÄ¹ýÉÙ,ÓëÌÇÄò²¡µÄ·¢ÉúÏÔ×ÅÏà¹Ø[5]¡£¡¶ÄÚ¾­¡·ÔÆ:“Òûʳ×Ô±¸,³¦Î¸ÄËÉË”µ±ÈËÃǹýʳ·Ê¸Êºñζ,Ƣθ¹¦Äܸºµ£ÖØ,ÔòÆ¢µÄ¹¦ÄÜʧµ÷,²»ÄÜÉ¢¾«ÖÜÉí,½òÒº²»ÄÜÒÔÊä²¼ÓÚ·Î,·ÎÔïÔò¿Ú¿ÊÒûË®¶à¡£Æ¢²»ÄÜΪÊä²¼½òÒºÓÚθ,Óô¶ø»¯ÈÈ,ÒõÒº×ÆÉË,Ïûɱˮ¹È,Ôò¶àʳ¶øÉƼ¢¡£Æ¢Ö÷É¢¾«¹¦ÄÜʧµ÷,²»ÄÜ»¯ÎªË®¹È¾«Î¢,Ôอ²»Äܵõ½×ÌÑø,ËæÖ®Òȵº¹¦ÄÜ·ÖÃÚÒȵºËع¦ÄÜÎÉÂÒ,·¢Õ¹³ÉÌÇÄò²¡¡£
 

Òûʳ¸ÄÉÆÆ¢¹¦ÄÜʧµ÷¶ÔÌÇÄò²¡µÄ·ÀÖÎ
 

¡¡¡¡2¡¢ Æ¢µÄ¹¦ÄÜʧµ÷

¡¡¡¡2.1¡¢ Ƣʧɢ¾«

¡¡¡¡ÌÇÄò²¡ÊôÓÚÖÐÒ½Ïû¿ÊµÄ·¶³ë,Òà³Æ“Æ¢ð÷”“Ïûð÷”¡£“Æ¢ð÷”Ò»´ÊÊ×¼ûÓÚ¡¶ËØÎÊ·Ææ²¡ÂÛÆª¡·,ÔÆ:“µÛÔ»:Óв¡¿Ú¸ÊÕß,²¡ÃûΪºÎ?ºÎÒÔµÃÖ®?᪲®Ô»:´ËÎ寸֮ÒçÒ²,ÃûԻƢð÷¡£·òÎåζÈë¿Ú,²ØÓÚθ,ƢΪ֮ÐÐÆä¾«Æø,¾«ÒºÔÚÆ¢,¹ÊÁîÈ˿ڸÊÒ²¡£”“Æ¢ð÷”ÊÇÏû¿ÊµÄǰÆÚ,Ïû¿ÊÓɓƢð÷”ת»¯¶øÀ´[6]¡£Æ¢ÎªºóÌìÖ®±¾,ÆøÑªÉú»¯Ö®Ô´,Ö÷ÔË»¯,Ö÷ÉýÇå¡£ÔçÔÚÄÚ¾­Ê±ÆÚ¾ÍÈÏʶµ½Ïû¿ÊÓɹýʳ·Ê¸Êºñζ¶ø·¢,²¡Î»ÔÚÆ¢,Æ¢µÄ¹¦ÄÜʧµ÷µ¼Ö½òÒºÊ䲼ʧ³£¡£¡¶ËØÎÊ·¾­Âö±ðÂÛÆª¡·ÑÔ:“ÒûÈëÓÚθ,ÓÎÒç¾«Æø,ÉÏÊäÓÚÆ¢,Æ¢ÆøÉ¢¾«,ÉϹéÓÚ·Î,ͨµ÷Ë®µÀ,ÏÂÊä°òëס£”Æ¢Ö÷É¢¾«,ÔË»¯Ë®¹È,ÄËÆøÑªÉú»¯Ö®Ô´¡£Æ¢ÐéÔò½òÒº²»ÐÐ,»¯Îª¾«Î¢,ÇåÑô²»Éý,×ÇÒõ²»½µ,ÉöºÍ°òë×¹¦ÄÜʧµ÷,¹ÊÏû¿Ê²¡±äËäÔڷΡ¢Æ¢¡¢ÉöÈýÔà,¸ùÔ´ÔÚÓÚÆ¢µÄ¹¦Äܲ»µ÷,²»Äܽ«ÓªÑøÎïÖÊÊäËÍÈ«Éí³ä·ÖÀûÓò¢»ñµÃÓÐЧÄÜÔ´,´Ó¶øÒýÆð´úл¹¦ÄÜÎÉÂÒ¡£ÖÐÒ½¿ÆÑ§Ôº¶ÔÏÖ´úÌÇÄò²¡´¦·½½øÐзÖÎö[7],¾­¹ýͳ¼ÆµÃ³ö²¹ÆøÀàÖÐҩʹÓÃµÄÆµÂÊ×î¸ß,ÆäÖÐ񾮿½¡Æ¢µÄ“»ÆÜΔʹÓôÎÊý×î¶à,´ÓÌÇÄò²¡´¦·½¿ÉÒÔ¿´³öÆäÖÎÁÆ»ù´¡Êǽ¡ÔËÆ¢Æø,¼ä½ÓÖ¤Ã÷Ƣʧɢ¾«ÊÇÌÇÄò²¡·¢²¡µÄÖ÷Òª»úÖÆ¡£

¡¡¡¡2.2¡¢ ËØÌ寢Ðé

¡¡¡¡¡¶ÁéÊà·±¾Ôà¡·ÔÆ:“Æ¢´àÔòÉÆ²¡Ïûð÷”,Ëæ×ŸßÈÈÁ¿ÒûʳÎÄ»¯µÄÊ¢ÐÐ,ÈËÃÇÔÚÍâ¾Í²Í»ú»á±È½Ï¶à,̰ÓÚ¿Ú¸¹Ö®Óû,»î¶¯Á¿È´Óú·¢µÄÉÙ,¾Ã×ø²»¶¯,·ÊÅÖÈÕ½¥Ç÷ÓÚÁ÷ÐÐ,´ÓÖÐҽѧ±æÖ¤·ÖÎö,ÕâÀàÊôÆ¢Æø²»×㡢̵ʪÄÚÊ¢µÄÌåÖÊ¡£¿ÆÑ§Ñо¿±íÃ÷[8-9],³ýÁË»ùÒò¡¢ÒÅ´«ÄÚÔÚÒòËØÒÔÍâ,¸ßÈÈÁ¿µÍÏËάÒûʳ¡¢¾Ã×ø²»¶¯µÄµÈÍâÔÚÒòËØÍ¬Ñù»áÒýÆðһϵÁдúл¼²²¡,Èç·ÊÅÖ¡¢ÌÇÄò²¡µÄ·¢Éú¡£

¡¡¡¡2.3¡¢ θǿƢÈõ

¡¡¡¡¡¶ÁéÊà·Ê¦´«¡·ÔÆ:“θÖÐÈÈÔòÏû¹È,ÁîÈËÐüÐÄÉÆ¼¢¡£”¡¶ËØÎÊ·ÔàÆø·¨Ê±ÂÛÆª¡·Ô»:“Æ¢²¡ÖØÕß,ÉíÖØÉÆ¼¢¡£”θµÄ¸¯Ê칦ÄÜ¿º½ø,ÄÉʳÔö¶à,¶øÆ¢ÐéÔË»¯ÎÞÁ¦,ʳ»ýθëä,Óô¶ôÆ¢Æø,ʪ×ÇÀ§Æ¢,Æ¢Ðé½øÒ»²½¼ÓÖØ,ͬʱƢʧ½¡ÔË,ÓÖÉúÄÚʪ,¶ñÐÔÑ­»·ÐγÉÏû¿Ê¡£

¡¡¡¡3¡¢“Ƣʧɢ¾«”ÓëÒȵºËصֿ¹Ïà¹Ø

¡¡¡¡¡¶ÄѾ­·ËÄÊ®¶þÄÑ¡·ÔÆ:“±â¹ãÈý´ç,³¤Îå´ç,ÓÐÉ¢¸à°ë½ï,Ö÷¹üѪ,ÎÂÎåÔà”¡£É¢¸àÀàËÆÓÚÖ¬·¾×éÖ¯µÄÏÙÌå,ÔÚÏÖ´úҽѧÖгÆÖ®“ÒÈÏÙ”¡£ÖÐÒ½ÈÏΪ“Æ¢”ÊÇÒ»¸öϵͳ¹¦ÄܵĸÅÄî,Ï൱ÓÚ½âÆÊѧÖГÒÈ”µÄ¹¦ÄÜ,°üÀ¨Æ¢ºÍÒÈÁ½¸öÔàÆ÷,¼´“Æ¢ÒÈͬԴ”¡£Ïà¹ØÐÔÑо¿Òà֤ʵ[10],Æ¢Æø½¡ÍúÔòÒȵºβϸ°û·ÖÃÚÒȵºËع¦ÄÜÕý³£,Æ¢ÐéÔòƢʧɢ¾«,Òȵºβϸ°û·ÖÃÚÒȵºËع¦ÄÜÎÉÂÒ¡£ÆÏÌÑÌÇÁ¥ÊôÓÚ¾«Î¢ÎïÖÊ,Ƣʧɢ¾«,Æ¢²»ÄÜÊä²¼¾«Î¢ÎïÖÊ,´úл·ÏÁÏÍ£ÖÍÓÚÌåÄÚ,ÉýÇå½µ×Çʧµ÷,µ¼ÖÂ̵×Ç¡¢Ë®ÊªµÈ´úл²úÎï¶Ñ»ý,̵ʪÀ§Æ¢,ƢΪʪ¶ô,Æ¢ÆøÊ§ÔË,ÖÂʹÐγÉˮʪ¡¢Ìµ×Ç¡¢ÑªðöµÈ²¡Àí²úÎï[11]¡£¸ßÖ¬Òûʳ¹ý³Ì²úÉúµÄ´úл²úÎïÈç´Îµ¨Ëá¡¢Áò»¯ÇâÆÆ»µ³¦µÀ¾úȺÀµÒÔÉú´æµÄ»·¾³,¼¤·¢Ñ×Ö¢·´Ó¦,Ö×Áö»µËÀÒò×ÓˮƽÃ÷ÏÔÉý¸ß,´Ó¶øÒýÆðÒȵºËصֿ¹[12]¡£ÏÖ´úÑо¿±íÃ÷,³¤ÆÚ¸ßÖ¬¡¢¸ßÈÈÁ¿Òûʳ»áÃ÷ÏÔÒÖÖÆÒȵºËØÐźÅ,Ëðº¦ÏßÁ£ÌåÑõ»¯Ö¬·¾ËáµÄÄÜÁ¦,µ¼ÖÂÏßÁ£Ì幦ÄÜÕϰ­,µ¼Ö»úÌå¸ßÒȵºËØÑªÖ¢µÄ²¡ÀíÉúÀí״̬,ѪÌÇ¡¢ÑªÖ¬ÎÉÂÒ,´Ó¶øµ¼Ö·ÊÅÖ¼°ÒȵºËصֿ¹[13]¡£

¡¡¡¡ÒȵºËصֿ¹ÓëÆ¢µÄ¹¦ÄÜʧµ÷Ïà¹Ø¡£Æ¢Ö÷ÉýÇå,ÔË»¯Ë®¹È,½«Ë®¹È¾«Î¢Êä²¼µ½ÖÜÉí,¼´Æ¢Ö÷É¢¾«µÄ¹¦ÄÜ¡£ÒȵºËØÊÇʵÏÖÆ¢Ö÷É¢¾«×÷ÓõÄÎïÖÊ»ù´¡¡£Æ¢ÒÈͬԴ¾ÓÓÚÖн¹,ͬÖ÷Ïû»¯ÓëÉ¢¾«,ͬÖ÷ÎïÖÊ´úл,ÒÈÏÙÍâ·ÖÃÚÏÙ·ÖÃڵĶàÖÖ°ïÖúÏû»¯µÄøÀàºÍÒÈÏÙÄÚ·ÖÃÚÏÙËù·ÖÃڵļ¤Ëض¼ÊǓƢÖ÷É¢¾«”µÄÎïÖÊ»ù´¡[14]¡£Æ¢½«¾«Î¢ÎïÖÊ(ÆÏÌÑÌÇ)ÔËËÍÖÁÖÜÉí(°ÐÆ÷¹Ù),³äÓ¯ËÄÖ«°Ùº¡(·Ö½â³ÉÌÇÔ­,ÌṩÉúÃü»î¶¯ËùÐèµÄÄÜÁ¿),µ±ÒȵºËØ¿¹ÌåÔö¶à,ÒȵºËØÊÜÌåµÄ»îÐÔºÍÊýÁ¿Ï½µ,ÔËÊ侫΢ÎïÖÊÄÜÁ¦¼õÈõ,»òÞ׿¹ÒȵºËؼ¤ËØÔö¶à,¶¼¿ÉÒýÆðÒȵºËصֿ¹¡£ÔÚÉúÀíÉÏ,Æ¢Ö÷É¢¾«ÓëÒÈÏÙ·ÖÃÚÒȵºËØ¡¢µ÷½ÚÌÇÖ¬´úл¹¦ÄÜÓÐÒìÇúͬ¹¤Ö®Ãî¡£ÔÚ²¡ÀíÉÏ,ÒȵºËصֿ¹±íÏÖΪ¾«Î¢ÎïÖÊ´úлʧ³£,ÓëÆ¢µÄ¹¦ÄÜʧ³£ËùÖÂÆ¢Ê§ÔË»¯,¾«Î¢²»²¼ÏàÆõºÏ¡£Í¨¹ýÖÐÒ½ÀíÂÛÖ¸µ¼Ê³Áƻָ´“Æ¢Ö÷É¢¾«”ºÍÒȵºËصֿ¹ÊÇ·ÀÖÎÌÇÄò²¡µÄÒ»¸öÆõ»ú¡£

¡¡¡¡4¡¢ ÒûʳÁÆ·¨·ÀÖÎ

¡¡¡¡ÌÇÄò²¡½ÌÓý,ÒûʳÖÎÁÆ,Ô˶¯ÖÎÁÆ,Ò©ÎïÖÎÁÆ,ѪÌǼà²âÊÇĿǰ¹ú¼ÊÌÇÄò²¡ÁªÃËÌá³öÌÇÄò²¡×ۺϷÀÖεēÎå¼ÜÂí³µ”[15]¡£ÆäÖÐÒûʳÖÎÁÆÊÇÌÇÄò²¡·ÀÖÎ×îÖ±½Ó¡¢×î»ù´¡µÄ·ÀÖÎÊֶΡ£¡¶Ç§½ð·½·±¸¼±Ç§½ðÒª·½¡·ÔÆ:“ÄÜÉ÷´ËÕß,Ëä²»Ó÷þÒ©¶ø×Ô¿ÉÎÞËû,²»Öª´ËÕß,×ÝÓнðµ¤Ò಻¿É¾È,Éî˼É÷Ö®¡£”µ¥´¿ÒÀ¿¿Ò©Îï·ÀÖÎÌÇÄò²¡ÊÇͽÀÍÎÞ¹¦µÄ,²»¿ÉºöÊÓÒûʳÒòËØµÄÓ°Ïì¡£³£³£ÔÚÁÙ´²ÉÏÓöµ½Ðí¶à»¼ÕßÒÀÀµÒ©Îï¿ìËÙÓÐЧ½µÌÇ,È´²»ÄÜ¿ØÖƿڸ¹Ö®Óû,¹ýʳÌðÆ·,Ñ̾Ʋ»¼É,·´¶øÔð¹ÖÒ½ÉúΪʲôѪÌÇÒ»Ö±²»ÄÜ´ï±êÄØ,ʵ¼ÊÉÏÊÇÒȵºËصֿ¹»òÒȵº¹¦ÄÜÊÜËðÔì³ÉµÄ¡£LI CµÈѧÕßÑо¿·¢ÏÖ[16],ÒûʳÁÆ·¨²»½ö¿ÉÒÔ»º½âÒȵºËصֿ¹,ά³ÖÌåÖØÕý³£,Ò²ÓÐÀûÓÚÒȵº¹¦Äָܻ´,Ìá¸ßÒȵºËØÃô¸ÐÐÔ,ÓÐЧ¿ØÖÆÑªÌDz¨¶¯,´ïµ½Ô¤·À¡¢¿ØÖÆ¡¢»º½âÌÇÄò²¡µÄ·¢Éú·¢Õ¹¡£¡¶¾°ÔÀÈ«Êé¡·ÔÆ:“Ïû¿Ê²¡……½Ô¸àÁ»·Ê¸ÊÖ®±ä,¾ÆÉ«ÀÍÉËÖ®¹ý,½Ô¸£¹óÈ˲¡Ö®Æ¶¼úÕßÉÔÓÐÒ²¡£”´óÇìÑо¿6ÄêÉú»î¸ÉÔ¤·¢ÏÖ[2],ÖйúÈËÔÚÈÕ³£ÒûʳÖÐÔö¼ÓÊ߲˵ÄÉãÈëÁ¿¡¢¼õÉÙÒû¾ÆºÍµ¥ÌÇ,ÿÌìÊʵ±Ô˶¯,¿Éʹ2ÐÍÌÇÄò²¡·¢²¡ÂÊϽµ43%¡£¶¯ÎïʵÑéÑо¿·¢ÏÖ[17],ÏÞÖÆÈÈÁ¿ÉãÈë´óÊóµÄÒȵºβϸ°û¹¦ÄÜÊÜËðÓëAMPKµ°°×±í´ïÏà¹Ø,ÏÞÖÆÈÈÁ¿¿ÉÒÔ¼õÉÙAMPKα2µ°°×±í´ï,»Ö¸´´óÊóÆÏÌÑÌÇÓÕµ¼µÄÒȵºËØ·ÖÃÚ¹¦ÄÜ¡£µ°°×AMPKÓëϵ÷ÌÇÒìÉúøÒÖÖÆ¸ÎÆÏÌÑÌÇÊä³öÓйØ,ÔÚ¹Ç÷À¼¡ÖÐ,ͨ¹ýÔöÇ¿GLUT-4Ïòϸ°û±íÃæµÄÒ×λÀ´Ôö¼ÓÆÏÌÑÌÇÉãÈ¡¡£³ÖÐø21 dµÄÈÈÁ¿ÉãÈëÏÞÖÆ¿ÉÒÔÓÐЧ½µµÍÌåÖØ,Ôö¼Ó´óÊóµÄÆÏÌÑÌÇÄÍÊÜÐÔ¡£ÒûʳÁÆ·¨Í¨¹ý¼õÉÙÈÈÁ¿µÄÉãÈë,¼õÇáÒȵº¹¦Äܵĸºµ£,»Ö¸´“Æ¢Ö÷É¢¾«”µÄ¹¦ÄÜ,ʹƢÖ÷ÔË»¯,Êä²¼µÄ¾«Î¢ÎïÖʱ»ÈËÌå³ä·ÖÎüÊÕ,ÒÔ·Àֹˮʪ¡¢Ìµ×Ç¡¢ÑªðöÄÚÉú,·ÀÖÎÌÇÄò²¡µÄ·¢Éú·¢Õ¹¡£LIM ELµÈѧÕßÑо¿ÈÏΪ[18],ͨ¹ýÏÞʳÁÆ·¨¿ÉÒÔÄæ×ªβϸ°ûË¥½ßºÍÒȵºËصֿ¹,Ϊ±»ÈÏΪÂýÐԵġ¢²»¿É±ÜÃâµÄ2ÐÍÌÇÄò²¡·ÀÖÎÌṩеÄÖÎÁÆË¼Â·,ÒûʳÁÆ·¨ÓÐÏ൱¿Í¹ÛµÄǰ¾°¡£

¡¡¡¡5¡¢ ÖÐҽʳÁÆÓÅÊÆ

¡¡¡¡ÖÐÒ½ÒûʳÁÆ·¨Ê³¸ù¾ÝÖÐÒ½ÀíÂÛ,±æÖ¤Ê©Ê³,±æÌåÖÊʩʳ,±Ù¹ÈÒÔ´ïµ½ÑøÉú¡¢Öβ¡·À²¡µÄÄ¿µÄ¡£¡¶ËØÎÊ·ËÄÉñµ÷Éñ´óÂÛÆª¡·ÔÆ:“Ê¥È˲»ÖÎÒѲ¡ÖÎδ²¡,²»ÖÎÒÑÂÒÖÎδÂÒ”;ÖÐÒ½ÒûʳÁÆ·¨ÌåÏÖ“ÖÎδ²¡”˼Ïë,¼´Î´²¡ÏÈ·ÀºÍÒѲ¡·À±ä¡£ÒûʳµÃµ±,¿ÉʹÉíÌåËØÖʺõÄÈ˸ü¼Ó½¡×³,Òà¿ÉÔ¤·ÀÌÇÄò²¡µÄ·¢Éú¡£

¡¡¡¡5.1¡¢ ±æÖ¤Ê©Ê³

¡¡¡¡ÖйúÓоä¹Å»°½Ð“ÃñÒÔʳΪÌì”,¼¸Ç§ÄêµÄÀúÊ·ÎÄÃ÷,¶ÔÓÚʳÎïµÄÐÔζ±æÖ¤Ê©Ê³ºÍ±æÌåÖÊʩʳ,ÖÐҽѧÀíÂÛÓÐÆä¶ÀÌØµÄÓÅÊÆ,ÒÔÕûÌå¹Û¾ÀÕý»úÌ庮ÈÈʧºâ,¹¦ÄÜʧµ÷,½¡Æ¢»¤Î¸,ʹ»úÌå»Ö¸´ÎÈ̬¡£Ê³ÎïµÄËÄÐÔ(º®¡¢ÈÈ¡¢Î¡¢Á¹),Îåζ(¸Ê¡¢Ëá¡¢¿à¡¢ÐÁ¡¢ÏÌ)Êǿ͹۴æÔڵġ£º®¡¢Á¹Ê³Îï¿ÉÒÔÇåÈÈ,µ«¹ýʳÒ×ÉËÑô;Ρ¢ÈÈʳÎï¿ÉÒÔì,µ«¹ýʳÒ×ÉËÒõ¡£¡¶½ðØÑÒªÂÔ¡·Ïû¿ÊÆªÔÆ:“θÖÐÓÐÈÈ,¼´Ïû¹ÈÒýʳ”,ÖÐÒ½ÈÏΪ¿àº®ÄÜйÄÚ»ð¡£Ñ§ÕßÑо¿ÏÔʾ[19],×÷ΪʳÓÃÊ߲˵Ŀà¹Ï¿ÉÒÔ½µµÍѪÌÇ,º¬ÓжàÖÖ½µÌÇ»îÐԳɷÖÇÒ×÷ÓûºÂý¶ø³Ö¾Ã¡£·ûºÏÖÐҽǿµ÷µÄÒõÑôƽºâ,Òûʳº®ÈÈÎÂÁ¹¹ýÓ̲»¼°,±æÖ¤Ö¸µ¼ÒûʳÒÔ´ïÒõƽÑôÃØ¡£

¡¡¡¡5.2¡¢ ±æÌåÖÊʩʳ

¡¡¡¡ÎäÁÕÑо¿·¢ÏÖ[20],»ùÓÚ¡¶ÖÐÒ½ÌåÖÊÁ¿±íΪÒÀ¾Ý¡·[21]½«ÉçÇø¾ÓÃñ·ÖÎªÆøÐéÖÊ¡¢ÑôÐéÖÊ¡¢ÒõÐéÖÊ¡¢ÌµÊªÖÊ¡¢ÊªÈÈÖÊ¡¢ðöѪÖÊ¡¢ÆøÓôÖʵÈ7×é,ÖÆ¶¨Òûʳ½¨Òé±í½øÐÐΪÆÚ1ÄêµÄÁ¬Ðø¸ÉÔ¤,²¢½¨Á¢¿Õ°×¶ÔÕÕ×é¡£ÄêÁä¡¢ÐÔ±ð¡¢ÀͶ¯Ç¿¶È¡¢ÎÄ»¯³Ì¶ÈµÈ·½ÃæÎÞÏÔ×ÅÐÔ²îÒì(P<0.05),·¢ÏÖ¾­ÖÐÒ½ÌåÖÊÀíÂÛÖ¸µ¼µÄÒûʳ¸ÉÔ¤×é¿Õ¸¹ÑªÌÇ¡¢²ÍºóѪÌÇ¡¢ÌÇ»¯Ñªºìµ°°×¡¢¸ÊÓÍÈýõ¥¡¢µÍÃܶÈÖ¬µ°°×¡¢BMIÃ÷ÏÔµÍÓÚ¶ÔÕÕ×é,¸ßµÍÃÜÖ¬µ°¸ßÓÚ¶ÔÕÕ×é¡£ÖÐÒ½ÒûʳÁÆ·¨Ö¼ÔÚ¾ÀÕý»¼ÕßÌåÖÊÆ«ÆÄÏÖÏó,ÒÔÖÐÒ½ÀíÂÛΪ»ù´¡,Ç¿µ÷ÕûÌå¹Û,±æÖ¤ÂÛÖÎ,ҽʳͬԴ¡£

¡¡¡¡5.3¡¢ ±Ù¹ÈÑøÉú

¡¡¡¡ÔçÔÚÇØººÊ±ÆÚ,±Ù¹ÈÑøÉú¾ÍÊ¢ÐÐÓÚÊÀ¡£³¤É³ÂíÍõ¶Ñ³öÍÁµÄºº²¯Êé¡¶È¥¹ÈÊ³ÆøÆª¡·ÔÆ:“È¥¹ÈÕßʳʯΤ”,ÒÔʳ¶ü´úÌæÎå¹ÈµÄÒ©ÎïÒÔ´ïµ½±Ù¹ÈÑøÉúµÄÄ¿µÄ¡£·þÓÃÒ©Îïʳ¶ü´úÌæÎå¹ÈµÄ±Ù¹ÈÑøÉúÊõ,²¢²»ÊÇÍêÈ«µÄ¾øÊ³¡¢½ûʳ,¶øÊÇͨ¹ý¸ÄÉÆÒûʳ½á¹¹,¿ØÖÆÊ³Á¿,°éÓзþÆø¡¢·þʳ¶üµÈ¸¨ÖúÊÖ¶Î,½èÒÔµ½´ï¿ÆÑ§½¡Éí¡¢Ô¤·À¼²²¡¡¢±Ù¹ÈÑÓÊÙµÄ×÷ÓÃ[22]¡£

¡¡¡¡¡¶ËØÎÊ·ÉϹÅÌìÕæÂÛÆª¡·ÔÆ:“ÒûʳÓнڔ“¶È°ÙËêÄËÈ¥”,ÖÐÒ½ÒûʳÁÆ·¨Ö÷ÕűæÖ¤Ê©Ê³,±æÌåÖÊʩʳ,±Ù¹ÈÒÔÇóÑøÉúÖ®µÀ,ÓëÏÖ´úҽѧ“ÏÞʳÑÓÊÙ”µÄ¹ÛµãÓÐÒìÇúͬ¹¤Ö®Ãî¡£Longo V DµÈÑо¿·¢ÏÖ,ÏÞʳÁÆ·¨ÄÜÔöǿϸ°û±£»¤,¼õÉÙÑõ»¯ËðÉ˺ÍÑ×Ö¢,ÓÅ»¯ÄÜÁ¿Ð³´úл,ÑÓ»º»ò×èÖ¹¼²²¡µÄ·¢Éú·¢Õ¹[23]¡£Koubova JµÈÑо¿±íÃ÷ÏÞʳÁÆ·¨ÊÇ¿ÉÐеÄ,ÏÞʳ1ÖÜÆ½¾ù½µµÍ4%ÌåÖÊÁ¿,ÑüΧËõСÎÞ²»Á¼·´Ó¦,²»½öÌá¸ßÁËÉú»îÖÊÁ¿,ͬʱÄܹ»½µµÍ2ÐÍÌÇÄò²¡»¼ÕߵĿո¹ÑªÌÇ¡¢ÊÕËõѹ¡¢ÊæÕÅѹ¡¢ÑªÑ¹,ÔÚ¸ÄÉÆÌÇÖ¬´úл¡¢ÔöÇ¿ÒȵºËØÃô¸ÐÐÔµÈ¶à·½Ãæ·¢»ÓÏÔ×Å×÷Óá£

¡¡¡¡6¡¢ ÌÖÂÛ

¡¡¡¡ÈËÃÇÔÚÒûʳÖÐÎüÊÕ¡¢×ª»»¡¢ÀûÓÃÓªÑøÄÜÁ¿ÊÇÒ»¸öÈ«Éí¶àÔอ²ÎÓëЭµ÷µÄг´úл¹ý³Ì,¶ø´Ë¹ý³ÌÈ¡¾öÓÚÆ¢Ö÷É¢¾«µÄ¹¦ÄÜ¡£ÒûʳÖÎÁÆÊÇÌÇÄò²¡·ÀÖεĻù´¡,¹úÍâÓеÄÑо¿ÈÏΪ,ÏÞʳÁÆ·¨¿ÉÒÔÑÓ»ºË¥ÀÏ,Ô¤·ÀÓëË¥ÀÏÏà¹Ø¼²²¡µÄ·¢Éú,ËäÈ»Æä»úÖÆÉÐδÃ÷È·¡£ÓÐѧÕßÈÏΪ[24],ÏÞÖÆÈÈÁ¿µÄÉãÈë¿ÉÒÔµ÷½ÚÒȵº¹¦ÄÜ,ͨ¹ýÒȵºËØÑùÉú³¤Òò×Ó1(IGF-1)¡¢²¸È鶯ÎïÀ×ÅÁÃ¸ËØ°Ðµ°°×(mTOR)¡¢ºËÌÇÌåµ°°×S6¼¤Ã¸(S6K)¡¢ÏÙÜÕËá»î»¯µ°°×¼¤Ã¸(AMPK)µÈÐźÅͨ·,´Ù½øÏ¸°ûÓ¦¼¤·´Ó¦µÄÊÊÓ¦ÐÔ,¼ÓÇ¿Æä¿¹Ñ¹ÄÜÁ¦ÒÔ¼°Ô¤·À¼²²¡µÄ·¢Õ¹¡£

¡¡¡¡Í¨¹ýÒûʳÖÎÁÆÓÐÖúÓÚµ÷½ÚÌÇÖ¬´úл,´Ù½øÒÈÏÙ·ÖÃÚ,±£»¤Òȵº¹¦ÄÜ,¾ßÓÐÏ൱¿É¹ÛµÄÑо¿Ç°¾°¡£È»¶ø¶ÔÓÚÖйúÈËÒûʳϰ¹ß¸ÉÔ¤µÄÑо¿ÉõÉÙ,ÈçºÎÒÔÖÐÒ½½Ç¶È½øÐÐÒûʳ½øÐиÉÔ¤ÉÐÎÞ¶¨ÂÛ,ÓдýÓÚ½øÒ»²½´óÑù±¾µÄÁÙ´²ÊÔÑé¡£ÖÐҽʳÁƳýÁ˱æÖ¤Ê©Ê³ºÍ±æÌåÖÊʩʳ,ͬʱǿµ÷Òª±Ù¹ÈÑøÉú,¼õÉÙÿÈÕÈÈÁ¿µÄÉãÈ¡,¼ÉʳÐÁÀ±ÓÍÕ¨¡¢·Ê¸ÊºñÄå֮ƷÒԹ˻¤Öн¹,½¡ÔËÆ¢Î¸,»Ö¸´Æ¢Ö÷ÔË»¯É¢¾«¹¦ÄÜ,ʹƢÍÁÊÜÄÉÓг£,ƢθÉý½µÓÐÐò,ÇåÑôµÃÉý,×ÇÒõµÃ½µ,Æ¢Ö÷É¢¾«,¹à¸ÈÖÜÉí,ÎåÔàÆ½,Áù¸­Í¨,ÆøÑªÎÞËùÖÍ,̵ʪÎÞËù¾Û,ÔÚÒ»¶¨³Ì¶ÈÉϵ÷½ÚÌÇÖ¬´úлÎÉÂÒ,»º½âÒȵºËصֿ¹,Ô¤·ÀÌÇÄò²¡µÄ·¢Éú¡£

¡¡¡¡ÖÐҽʳÁÆÔÚ¼¸Ç§ÄêµÄ·¢Õ¹Öв»¶ÏÍêÉÆ×ÔÉíÀíÂÛ,¸¶ÖîÓÚʵ¼ù¾ßÓÐÉîºñµÄȺÖÚ»ù´¡¡£·´¹ÛÎ÷Ò½µ¥´¿ÒÀ¿¿Òûʳ¡¢Ô˶¯¡¢Ò©ÎïÈ¡µÃµÄÁÆ·¨ÓÐÒ»¶¨µÄ¾ÖÏÞÐÔ¡£ÖÐÒ½µÄÕûÌå¹Û,±æÖ¤Ê©ÖεÄÖÎÁÆÌØÉ«ÔÚ·ÀÖÎÌÇÄò²¡,Ìá¸ßÉú´æÖÎÁÆÓÐÆä²»¿ÉÌæ´úµÄÓÅÊÆ,ÖÐÒ½ÒûʳÁÆ·¨ÊǼ«Æä¾ßÓÐǰ¾°·ÀÖÎÌÇÄò²¡µÄÖÎÁÆ·½·¨¡£»ùÓÚ¹úÈ˵ÄÒûʳϰ¹ß,ÒòÈ˶øÒì,¾ÀÕýƢʧɢ¾«µÄ²¡Àí״̬,»º½âÒȵºËصֿ¹,±Ø½«ÎªÌÇÄò²¡¼°ÌÇÄò²¡Ç°ÆÚµÄÁÙ´²·ÀÖδøÀ´ÐµÄÖÎÁÆ´ëÊ©,¶Ô·á¸»ÖÐҽѧÀíÂÛ,Ö¸µ¼ÁÙ´²·ÀÖÎÌÇÄò²¡·¢Éú,¾ßÓÐÒ»¶¨µÄÏÖʵÒâÒå¡£

¡¡¡¡²Î¿¼ÎÄÏ×

¡¡¡¡[1] Yu X,Limin W,Jiang H,et al. Prevalence and control of diabetes in Chinese adults[J]. JAMA,2013,310(9):4326.
¡¡¡¡[2]Íõ½ðƽ,³ÂÑàÑà,¹®Çïºì,µÈ.ÌÇÄò²¡ºÍÐÄѪ¹Ü²¡Ô¤·ÀµÄÆÆ±ùÖ®Â×—´óÇìÌÇÄò²¡Ô¤·ÀÑо¿30Äê[J].Öйú¿ÆÑ§:ÉúÃü¿ÆÑ§,2018,48(8):902-908.
¡¡¡¡[3] Speakman J R,Mitchell S E. Caloric restriction[J]. Molecular Aspects of Medicine,2011,32(3):159-221.
¡¡¡¡[4] Zumin S. Prevalence of diabetes among men and women in China[J]. The New England journal of medicine,2010,362(25):1257.
¡¡¡¡[5]ÀîÁá,³ÂÎÄÛî.ÌÇÄò²¡µÄƢθ²¡Òò²¡»ú̽ÌÖ[J].ÖÐÒ½Ñо¿,2007(4):3-5.
¡¡¡¡[6]ÙÚСÁÖ,¼§º½Óî,ÀîÃô,µÈ.Æ¢ð÷ÐÂÂÛ[J].ÖлªÖÐÒ½Ò©ÔÓÖ¾,2009,24(8):988-991.
¡¡¡¡[7]³£Ïè,Õźé.ÂÛ“Æ¢ÆøÐé”¶Ô2ÐÍÌÇÄò²¡ÁÙ´²ÒâÒå[J].ÁÉÄþÖÐÒ½Ò©´óѧѧ±¨,2010,12(11):103-105.
¡¡¡¡[8] Mozaffarian D,Hao T,Rimm E B,et al. Changes in Diet and Lifestyle and Long-Term Weight Gain in Women and Men[J].The New England Journal of Medicine,2011,364(25):2392-2404.
¡¡¡¡[9] Frontoni.Very-low-calorie diet:a quick therapeutic tool to improveβcell function in morbidly obese patients with type 2diabetes[J].The American journal of clinical nutrition,2012,95(3):609-613.
¡¡¡¡[10]ÁøÑà,·½³¯êÍ.´ÓÆ¢ÂÛÖÎÌÇÄÍÁ¿¼õµÍµÄÁÙ´²ÒâÒå[J].ÖÐÒ½ÔÓÖ¾,2013,54(12):1007-1009.
¡¡¡¡[11]µÚÎåÓÀ³¤,Ðí½¨ÇØ.“ÒȵºËصֿ¹”ÓëÖÐÒ½“Æ¢²»É¢¾«”Ïà¹ØÐÔµÄÀíÂÛ̽ÌÖ[J].ËÄ´¨ÖÐÒ½,2006(10):23-24.
¡¡¡¡[12]ÐìµÂ¿ý,ÀÉÐ÷Áú,ÓÚÇ칦,µÈ.¸ßÖ¬Òûʳ¶Ô½á³¦Ñ×СÊóÖ×Áö»µËÀÒò×Ó-α±í´ïµÄÓ°Ïì[J].ÖлªÊµÓÃÕï¶ÏÓëÖÎÁÆÔÓÖ¾,2014,28(11):1075-1076.
¡¡¡¡[13]Ç®ÔÀêÉ,¸ßƽ½ø,ÕÅâù,µÈ.̵ʪÖʸßѪѹ»¼ÕßÒȵºËصֿ¹ÓëÖ¬ÁªËØ»ùÒòÏà¹ØÐÔ[J].Öлª¸ßѪѹÔÓÖ¾,2010,18(7):653-657.
¡¡¡¡[14]ÍõµÂ»Ý,ÎâÏÍ˳,Àî½úºê,µÈ.´ÓÆ¢Ð铯¢²»É¢¾«”»ò“É¢¾«Õϰ­”̽ÌÖÌÇÄò²¡µÄÖÐÒ½²¡»ú[J].ÖÐÒ½ÔÓÖ¾,2014,55(22):1906-1908.
¡¡¡¡[15] None. Global guideline for type 2 diabetes[J].Diabetes research and clinical practice,2014,104(1):1-52.
¡¡¡¡[16] Li C,Sadraie B,Steckhan N,et al. Effects of A One-week Fasting Therapy in Patients with Type-2 Diabetes Mellitus and Metabolic Syndrome-A Randomized Controlled Explorative Study[J]. Experimental and Clinical Endocrinology&Diabetes,2017(s1):43-57.
¡¡¡¡[17] Amaral M E,Ribeiro R A,Vanzela E C,et al. Reduced AMPKalpha2 protein expression restores glucose-induced insulin secretion in islets from calorie-restricted rats[J]. Int J Exp Pathol,2016,97(1):50-55.
¡¡¡¡[18] Lim E L,Hollingsworth K G,Aribisala B S,et al. Reversal of type 2 diabetes:normalisation of beta cell function in association with decreased pancreas and liver triacylglycerol[J].Diabetologia,2011,54(10):2506-2514.
¡¡¡¡[19]ÂÂÀöºì,ÕÔÓàÇì.¿à¹ÏµÄ½µÑªÌÇ×÷Óü°»îÐԳɷֵÄÑо¿[J].ÖÐÒ©²Ä,2002(6):449-451.
¡¡¡¡[20]ÎäÁÕ,ØÁº£Æ¼,Àî¾§.ÖÐÒ½ÌåÖÊÀíÂÛÖ¸µ¼ÉçÇøÌÇÄò²¡»¼ÕßÒûʳÖÎÁÆÐ§¹ûÆÀ¼Û[J].ÖлªÖÐÒ½Ò©ÔÓÖ¾,2009,24(8):1103-1104.
¡¡¡¡[21]Íõçù. 9ÖÖ»ù±¾ÖÐÒ½ÌåÖÊÀàÐ͵ķÖÀ༰ÆäÕï¶Ï±íÊöÒÀ¾Ý[J].±±¾©ÖÐÒ½Ò©´óѧѧ±¨,2005(4):1-8.
¡¡¡¡[22]ÀîµÂÐÓ.µÀ½Ìҽѧ±Ù¹ÈÑøÉúÊõdzÎö[J].ÖлªÖÐÒ½Ò©ÔÓÖ¾,2012,27(5):1230-1232.
¡¡¡¡[23] Longo V D,Mattson M P. Fasting:Molecular Mechanisms and Clinical Applications[J]. Cell Metabolism,2014,19(2):181-192.
¡¡¡¡[24] Koubova J. How does calorie restriction work[J]. Genes&Development,2003,17(3):313-321.

×÷Õßµ¥Î»£º½­Î÷ÖÐÒ½Ò©´óѧ ÄϲýÊеÚÈýÒ½Ôº
Ô­Îijö´¦£ººúÑÇçù,ͿƼ.´Ó¡°Æ¢Ê§É¢¾«¡±Ì½ÌÖÖÐҽʳÁƶÔÌÇÄò²¡µÄ·ÀÖÎ[J].ÁÉÄþÖÐÒ½Ò©´óѧѧ±¨,2019,21(10):180-183.
Ïà¹Ø±êÇ©£º
  • ±¨¾¯Æ½Ì¨
  • ÍøÂç¼à²ì
  • ±¸°¸ÐÅÏ¢
  • ¾Ù±¨ÖÐÐÄ
  • ´«²¥ÎÄÃ÷
  • ³ÏÐÅÍøÕ¾