整合生活方式医学与中医学特色慢性病管理的医学干预模式构建

摘要： 面对全球日益加重的慢性病负担，生活方式医学通过科学调整个体饮食、运动、心理健康等多维度因素，为慢性病的预防与管理提供了重要支撑。中医学秉持的整体观、辨证论治及个体化治疗理念，与生活方式医学的核心思想高度契合，二者融合有望进一步提升患者的整体健康状态。本文结合中医理念与生活方式医学，系统探讨其在慢性病管理中的潜在优势与实践路径。通过梳理二者在慢性病管理理念与实践中的共通点，提出并构建了整合生活方式医学与中医学的医学干预模式，明确其核心要素为饮食习惯优化、身体活动水平调控、睡眠质量改善、戒烟与限酒措施、情绪和精神健康管理五大维度。同时，基于现有循证医学证据分析五大核心要素的研究现状，明确其在慢性病管理中的整合优势及未来研究方向。最后，依据慢性病相关指南文献推荐，提出面向不同慢性病患者的个性化新模式干预建议，旨在提供更科学、个性化的干预策略，以减轻医疗负担，提高患者生活质量。

关键词: 生活方式医学, 中医学, 慢性病管理, 医学干预模式, 核心要素, 健康管理, 健康促进

Abstract:

Facing the increasing global burden of chronic diseases, lifestyle medicine (LM) provides an important means for the management and prevention of chronic diseases by scientifically adjusting individual diet, exercise, mental health and other factors. The holistic approach, syndrome differentiation, and individualized treatment philosophy of traditional Chinese medicine (TCM) highly coincide with lifestyle medicine, both aiming to improve the overall health of patients. This article integrates the principles of TCM with LM, exploring their potential advantages and practical applications in the management of chronic diseases. By analyzing the commonalities between LM and TCM in the management of chronic diseases, this study proposes and constructs a distinctive medical intervention model for chronic disease management integrating LM and TCM, which is summarized into five core elements: diet, physical activity, sleep, risk substance-tobacco and alcohol and emotional and mental health. Based on existing evidence from evidence-based medicine, this article analyzes the research status of the five core elements, and proposes the advantages of chronic disease management after integration and the directions for future research. Finally, based on the recommendations of chronic disease-related guideline literatures, this article proposes personalized intervention plans for different chronic disease patients, aiming to provide more scientific and individualized intervention strategies to reduce the medical burden and improve the quality of life of patients.

Key words: Lifestyle medicine, Traditional Chinese medicine, Chronic disease management, Medical intervention model, Core elements, Health management, Health promotion

引用本文

留典淳,王芊云,陈晓莹,等. 整合生活方式医学与中医学特色慢性病管理的医学干预模式构建与展望[J]. 中国全科医学, 2026, 29(07): 830-838.