某高校医院减肥手术患者的特点

Jinhyouk Lim, T. Ha
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摘要

目的:本研究旨在分析大学医院实施减肥手术后患者指标和手术指标的变化,并确定其肥胖中心的发展方向。材料和方法:从2010年12月到2018年6月,共有35名肥胖患者在该中心接受了手术。术前测量患者的身高、体重、体重指数(BMI)、腹围和臀围。进行实验室测试以观察手术前后的变化。患者接受Roux-en-Y胃旁路移植术(RYGB)或腹腔镜袖状胃切除术(LSG),并对术后并发症进行分析。结果:共有35例患者接受了肥胖手术:23例接受了RYGB,12例接受了LSG。术后并发症:出血1例,脓肿1例,呼吸衰竭1例,切口疝2例。术前平均体重为105.1±27.2kg,术后平均体重为84.3±19.9kg,差异为20.7±13.5kg。BMI也从术前的38.3±8.4下降到术后的31.0±6.4,下降幅度为7.3±4.6。结论:通过我们的研究,我们确定在这家医院,应该采取多学科团队的方法来进行术后体重管理和健康护理,以及术后持续和系统的管理。
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Characteristics of Bariatric Surgery Patients in a Single University Hospital
Purpose: The study aimed to analyze changes in patient indicators and surgical indices in relation to bariatric surgery performed at a university hospital and determine the development direction of its obesity center. Materials and Methods: From December 2010 to June 2018, a total of 35 obese patients underwent surgery at the center. Patients’ height, weight, body mass index (BMI), abdominal circumference, and hip circumference before surgery were measured. Laboratory tests were performed to observe changes before and after surgery. Patients underwent Roux-en Y gastric bypass (RYGB) or laparoscopic sleeve gastrectomy (LSG), and postoperative complications were analyzed. Results: A total of 35 patients underwent obesity surgery: 23 with RYGB and 12 with LSG. Postoperative complications occurred: bleeding in one case, abscess in one case, respiratory failure in one case, and incisional hernia in two cases. The mean preoperative weight was 105.1±27.2 kg and postoperative weight was 84.3±19.9 kg. The difference was 20.7±13.5 kg. BMI also decreased from 38.3±8.4 preoperatively to 31.0±6.4 postoperatively by 7.3±4.6. Conclusion: Through our study, we determined that in this hospital, a multidisciplinary team approach to postoperative weight management and health care should be undertaken as well as continuous and systematic management after surgery.
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