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肥胖症与外科手术

Obesity Disease and Surgery.

作者信息

Al-Mulhim Abdulrahman Saleh, Al-Hussaini Hessah Abdulaziz, Al-Jalal Bashaeer Abdullah, Al-Moagal Rehab Omar, Al-Najjar Sara Abdullah

机构信息

Medical College, King Faisal University, Saudi Arabia ; Department of Surgery, Medical College, King Faisal University, Hofuf, P.O. Box 1164, Al-Hassa 31982, Saudi Arabia.

Medical College, King Faisal University, Saudi Arabia.

出版信息

Int J Chronic Dis. 2014;2014:652341. doi: 10.1155/2014/652341. Epub 2014 Apr 28.

Abstract

Obesity is a medical disease that is increasing significantly nowadays. Worldwide obesity prevalence doubled since 1980. Obese patients are at great risk for complications with physical and psychological burdens, thus affecting their quality of life. Obesity is well known to have higher risk for cardiovascular diseases, diabetes mellitus, musculoskeletal diseases and shorter life expectancy. In addition, obesity has a great impact on surgical diseases, and elective surgeries in comparison to general population. There is higher risk for wound infection, longer operative time, poorer outcome, and others. The higher the BMI (body mass index), the higher the risk for these complications. This literature review illustrates the prevalence of obesity as a diseases and complications of obesity in general as well as, in a surgical point of view, general surgery perioperative risks and complications among obese patients. It will review the evidence-based updates in these headlines.

摘要

肥胖是一种目前正在显著增加的医学疾病。自1980年以来,全球肥胖患病率翻了一番。肥胖患者面临身体和心理负担并发症的巨大风险,从而影响他们的生活质量。众所周知,肥胖会增加患心血管疾病、糖尿病、肌肉骨骼疾病的风险,还会缩短预期寿命。此外,肥胖对外科疾病以及与普通人群相比的择期手术有很大影响。伤口感染风险更高、手术时间更长、预后更差等等。体重指数(BMI)越高,这些并发症的风险就越高。这篇文献综述阐述了肥胖作为一种疾病的患病率、肥胖的一般并发症,以及从外科角度来看肥胖患者普通外科围手术期的风险和并发症。它将回顾这些方面基于证据的最新情况。

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