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基于伊拉克库尔德斯坦苏莱曼尼亚省两个减肥中心的四年经验,肥胖患者袖状胃切除术后的生活质量变化模式

Pattern of changes in quality of life of obese patients after sleeve gastrectomy in Sulaimani provence -Kurdistan-Iraq, based on 4 years experience in two bariatric centers.

作者信息

Ahmed Hiwa Omer

机构信息

Metabolic and Bariatric Surgery, College of Medicine -University of Sulaimani, Hospital for Endoscopic and Bariatric Surgery, Iraq.

出版信息

Ann Med Surg (Lond). 2017 Dec 27;26:9-14. doi: 10.1016/j.amsu.2017.12.008. eCollection 2018 Feb.

Abstract

BACKGROUND

Obesity influences all aspects of the life of obese patients physically, psychologically, socially and monetarily, it is not only a disease but rather a beginning point of a group of ailments and inabilities, which gradually impacts and changes all aspects of their life.

OBJECTIVES

The changes in the Quality of life in respect to the amount of access weight lost after sleeve gastrectomy.

PATIENTS MATERIALS AND METHODS

A prospective longitudinal study evaluating 40 female patients who underwent laparoscopic sleeve gastrectomy within 4 years, starting from July 4th, 2012 up to July 5th, 2016.

RESULTS

More than three-quarter of the patients were not satisfied with their body before their operation, but six to twelve months after their weight loss; (N = 36, 90%) of them were satisfied with their new body image. Half of the patients were unhappy before their operation, but twelve months later (N = 31, 77.5%) of them became much happier. Regarding satisfaction with the body image, noticeable improvement occurred since (N = 36, 90%) of them were satisfied with their new body image. While, most of them have had low self-esteem and (N 27, 67.5%) of the patients had no self-esteem at all, 12 months after the operation (N = 35, 87.5%) felt great improvement in their self-esteem (p-value = ). A significant decrease in appetite was noticed in (N = 39, 97.5%) of the patients after 12 months.

CONCLUSION

Significant changes in the parallel pattern to the extent of EWL were noticed in the quality of life of morbidly obese patients after laparoscopic sleeve gastrectomy.

摘要

背景

肥胖在身体、心理、社会和经济方面影响着肥胖患者生活的方方面面,它不仅是一种疾病,更是一系列疾病和功能障碍的起始点,会逐渐影响并改变患者生活的各个方面。

目的

研究袖状胃切除术后体重减轻量与生活质量变化之间的关系。

患者、材料与方法:一项前瞻性纵向研究,评估了从2012年7月4日至2016年7月5日的4年间接受腹腔镜袖状胃切除术的40名女性患者。

结果

超过四分之三的患者在手术前对自己的身体不满意,但在体重减轻6至12个月后,其中36名(90%)患者对新的身体形象感到满意。一半的患者在手术前不开心,但12个月后,其中31名(77.5%)变得更加快乐。关于对身体形象的满意度,自那时起有显著改善,因为其中36名(90%)患者对新的身体形象感到满意。同时,他们中的大多数人自尊心较低,27名(67.5%)患者完全没有自尊心,手术后12个月,35名(87.5%)患者的自尊心有了很大改善(p值=)。12个月后,39名(97.5%)患者的食欲明显下降。

结论

腹腔镜袖状胃切除术后,病态肥胖患者的生活质量与体重减轻程度呈平行显著变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c10/5904781/f0a9b59e0260/gr1.jpg

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