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减肥手术术前和术后肥胖患者的病情分析。

Analysis of obese patients' medical conditions in the pre and postoperative periods of bariatric surgery.

作者信息

Rêgo Anderson DA Silva, Zulin Aline, Scolari Sandro, Marcon Sônia Silva, Radovanovic Cremilde Aparecida Trindade

机构信息

- State University of Maringá, Post-Graduate Program in Nursing, Maringá, Parana State, Brazil.

- Dr. Sandro Scolari Surgery Institute, Maringá, Parana State, Brazil.

出版信息

Rev Col Bras Cir. 2017 Mar-Apr;44(2):171-178. doi: 10.1590/0100-69912017002011.

DOI:10.1590/0100-69912017002011
PMID:28658336
Abstract

OBJECTIVE

to compare the clinical conditions of obese patients in the pre and postoperative period of bariatric surgery.

METHODS

we carried out a descriptive, retrospective, quantitative study by consulting the charts of 134 patients who underwent bariatric surgery in the period from 2009 to 2014. We collected the data between September and November 2015. We performed a descriptive statistical analysis and comparative analysis of anthropometric, metabolic, biochemical and clinical variables, considering six months before and after surgery.

RESULTS

the majority of the patients were female (91.8%), with a higher prevalence (35%) in the age group 18-29 years old, complete high-school education (65.6%) and grade III obesity (60.4%). Six months after surgery, weight and lipid profile reduction were significant in both genders, but the impact on biochemical, anthropometric, metabolic and clinical parameters was significant only in female subjects, with a reduction in morbidities associated with obesity, such as arterial hypertension, diabetes mellitus, dyslipidemia and metabolic syndrome and in the use of drugs to control them.

CONCLUSION

bariatric surgery was effective in weight loss, with improvements in anthropometric, metabolic and biochemical parameters and in the reduction of morbidities associated with obesity.

摘要

目的

比较肥胖患者在减肥手术前后的临床状况。

方法

我们通过查阅2009年至2014年期间接受减肥手术的134例患者的病历,进行了一项描述性、回顾性、定量研究。我们在2015年9月至11月期间收集数据。我们对手术前后六个月的人体测量、代谢、生化和临床变量进行了描述性统计分析和比较分析。

结果

大多数患者为女性(91.8%),18 - 29岁年龄组患病率较高(35%),完成高中学业(65.6%),III级肥胖(60.4%)。术后六个月,体重和血脂水平在两性中均显著降低,但对生化、人体测量、代谢和临床参数的影响仅在女性受试者中显著,肥胖相关疾病如动脉高血压、糖尿病、血脂异常和代谢综合征以及控制这些疾病的药物使用均有所减少。

结论

减肥手术在减轻体重方面有效,人体测量、代谢和生化参数得到改善,肥胖相关疾病减少。

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