减肥手术后的生活质量
Quality of Life After Bariatric Surgery.
作者信息
Mazer Laura M, Azagury Dan E, Morton John M
机构信息
Division of General Surgery, Department of Surgery, Stanford University School of Medicine, Stanford University, 300 Pasteur Drive, H3591, Stanford, CA, 94305-5655, USA.
Section of Bariatric and Minimally Invasive Surgery, Stanford University School of Medicine, Stanford University, 300 Pasteur Drive, H3680A, Stanford, CA, 94305-5655, USA.
出版信息
Curr Obes Rep. 2017 Jun;6(2):204-210. doi: 10.1007/s13679-017-0266-7.
PURPOSE OF REVIEW
The purpose of this review is to provide an introduction to quality of life (QOL) outcomes after bariatric surgery and a summary of the current evidence.
RECENT FINDINGS
QOL has been emphasized in bariatric surgery since the NIH Consensus Conference statement in 1991. Initial studies were limited to 1- and 2-year follow-up. More recent findings have expanded the follow-up period up to 12 years, providing a better description of the impact on long-term QOL. Overall, there is little to no consensus regarding the definition of QOL or the ideal survey. Bariatric surgery has the greatest impact on physical QOL, and the impact on mental health remains unclear. There are some specific and less frequently reported threats to quality of life after bariatric surgery that are also discussed. Obesity has a definite impact on quality of life, even without other comorbidities, and surgery for obesity results in significant and lasting improvements in patient-reported quality of life outcomes. This conclusion is limited by a wide variety of survey instruments and absence of consensus on the definition of QOL after bariatric surgery.
综述目的
本综述旨在介绍减肥手术后的生活质量（QOL）结果，并总结当前证据。
最新发现
自1991年美国国立卫生研究院（NIH）共识会议声明以来，生活质量在减肥手术中一直受到重视。最初的研究仅限于1年和2年的随访。最近的研究结果将随访期延长至12年，能更好地描述对长期生活质量的影响。总体而言，关于生活质量的定义或理想的调查几乎没有共识。减肥手术对身体生活质量的影响最大，对心理健康的影响仍不明确。文中还讨论了减肥手术后一些对生活质量有特定且较少报道的威胁。肥胖对生活质量有明确影响，即使没有其他合并症，肥胖症手术也能显著且持久地改善患者报告的生活质量结果。这一结论受到多种调查工具以及减肥手术后生活质量定义缺乏共识的限制。
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