肥胖症手术的风险、益处及对病态肥胖者的护理。

Bariatric surgery risks, benefits, and care of the morbidly obese.

作者信息

Owens Tracy Martinez

机构信息

Wittgrove Bariatric Center, Scripps Memorial Hospital, 9438 Genesee Avenue, Suite 328, La Jolla, CA 92037, USA.

出版信息

Nurs Clin North Am. 2006 Jun;41(2):249-63, vi. doi: 10.1016/j.cnur.2006.01.008.

DOI:10.1016/j.cnur.2006.01.008

PMID:16698341

Abstract

The American Society for Bariatric Surgery defines morbid obesity as a lifelong, progressive, life-threatening, genetically-related, costly, multi-factorial disease of excess fat storage with multiple comorbidities. Obesity satisfies the definition of morbid obesity when it reaches the point of significant risk for obesity-related comorbidities. These significant comorbidities often result in either significant physical disability or even death. Obesity results from excessive accumulation of fat that exceeds the body skeletal and physical standards. Morbid obesity is defined as being at least 100 lb heavier than ideal body weight, or a body mass index (BMI) of 40. BMI is calculated as weight in kilograms divided by the height in meters squared. This article focuses on the causes, treatment, and perioperative nursing care of patients who are morbidly obese.

摘要

美国减肥外科学会将病态肥胖定义为一种与基因相关、终生性、渐进性、危及生命、代价高昂、多因素的脂肪过度储存疾病，伴有多种合并症。当肥胖达到与肥胖相关合并症的显著风险点时，即符合病态肥胖的定义。这些严重的合并症通常会导致严重的身体残疾甚至死亡。肥胖是由于脂肪过度堆积超过身体骨骼和生理标准所致。病态肥胖的定义是比理想体重至少重100磅，或体重指数（BMI）达到40。BMI的计算方法是体重（千克）除以身高（米）的平方。本文重点关注病态肥胖患者的病因、治疗及围手术期护理。