胆囊切除术患者血脂和饮食摄入的评价

R. Goodarzi, A. Saedisomeolia, E. F. Moghadam, Ali Sadoogh-Abbasi, A. Sianaki, Zahra Seaf
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引用次数: 1

摘要

新的研究结果表明,胆囊不仅控制胆汁酸的浓度和储存,而且可能对营养物质的代谢,特别是脂肪的代谢有效。目的:探讨胆囊切除术对血脂指标的影响。材料与方法:对70例胆囊切除术患者进行横断面研究。在胆囊切除术前和术后1个月评估受试者的血清脂蛋白浓度、体重、BMI和饮食摄入量。结果:两组血清甘油三酯浓度、总胆固醇、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)与低密度脂蛋白(LDL)之比无显著差异,而胆囊切除术后HDL浓度明显降低。术前、术后饮食中能量、脂肪、蛋白质、碳水化合物、纤维、饱和脂肪和不饱和脂肪的摄入量均无显著差异。结论:我们发现胆囊切除术降低了手术后30天的HDL-C,然而,其他生物标志物,如脂蛋白、体重和BMI,没有显著差异。此外,胆囊切除术前后血清脂蛋白水平的稳定可能与饮食相关因素的变化不显著有关。
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Evaluation of the serum lipid profile and dietary intake in patients undergoing cholecystectomy
Introduction: New findings suggest that gallbladder not only plays a role in control of concentration and storage of the bile acids, but also, may be effective on nutrients metabolism, in particular on fat metabolism. Objective: This study aimed to determine the effects of cholecystectomy on serum lipid parameters. Materials and methods: This cross-sectional study was conducted on seventy patients who were undergoing cholecystectomy. The serum concentration of lipoproteins, weight, BMI, and dietary intake of subjects were assessed before and one month after the cholecystectomy operation. Results: No significant difference was found regarding serum concentration of triglycerides, total cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) to LDL proportion, while, HDL concentration represented a significant reduction after the cholecystectomy. No significant difference was observed in terms of the dietary intake of energy, fat, protein, carbohydrate, fiber, saturated and unsaturated fat before and after the surgery. Conclusion: We showed that cholecystectomy decreases the HDL-C by the day of 30 after surgery, however, other biomarkers such as lipoproteins, weight, and BMI, did not differ significantly.Besides, the stability of the serum levels of lipoproteins preand post-cholecystectomy may be due to the insignificant changes in factors related to diet.
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