减肥手术后血管迷走性晕厥的患病率。
Prevalence of vasovagal syncope following bariatric surgery.
作者信息
Al Obeed Omar A, Traiki Thamer Bin, Alfahad Yara F, Abdulla Maha-Hamadien, AlAli Mohamed N, Alharbi Abdulhamed A, Alharbi Reem, Nouh Thamer, Hersi Ahmad
机构信息
Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
出版信息
Saudi J Anaesth. 2021 Apr-Jun;15(2):161-164. doi: 10.4103/sja.SJA_922_20. Epub 2021 Apr 1.
BACKGROUND
Obesity is a major global public health problem. Observational studies have shown an increasing incidence of syncope and pre-syncope following bariatric surgery in obese patients. However, there is paucity of the true incidence of syncope following bariatrics sugary in the literature.
METHODS
We have randomly surveyed 200 patients who underwent bariatric surgery between 2016-2018 using Calgary Syncope Score (CSS).
RESULTS
Of the 200 patients enrolled, 107 (53.5%) were female with 167 patients (83.5%) between 18 and 50 years of age. The most-reported comorbidities were diabetes mellitus 26 (13%) hypertension 25 (12.5%) and pulmonary disease 18 (9%). The majority 98 (49%) of the patients had pre-operative body mass index (BMI) of 40-50 kg/m , and most of them had laparoscopic sleeve gastrectomy (LSG). Sixty-two (31%) patients had vasovagal syncope (VVS), 52 (26%) patients had non-VVS and 86 (43%) had no syncope.
CONCLUSION
Vasovagal syncope in patients following bariatric sugary is quite common and affects 15% of bariatric patients in our series in the first year postoperatively. Further randomized controlled trials are required to prove our results.
背景
肥胖是一个主要的全球公共卫生问题。观察性研究表明，肥胖患者接受减肥手术后晕厥和先兆晕厥的发病率在增加。然而，文献中关于减肥手术后晕厥的真实发病率的资料很少。
方法
我们使用卡尔加里晕厥评分（CSS）对2016年至2018年间接受减肥手术的200名患者进行了随机调查。
结果
在纳入的200名患者中，107名（53.5%）为女性，167名患者（83.5%）年龄在18至50岁之间。报告最多的合并症是2型糖尿病26例（13%）、高血压25例（12.5%）和肺部疾病18例（9%）。大多数患者98例（49%）术前体重指数（BMI）为40 - 50 kg/m²，且大多数患者接受了腹腔镜袖状胃切除术（LSG）。62例（31%）患者发生血管迷走性晕厥（VVS），52例（26%）患者发生非VVS，86例（43%）患者未发生晕厥。
结论
减肥手术后患者的血管迷走性晕厥相当常见，在我们的系列研究中，术后第一年影响15%的减肥患者。需要进一步的随机对照试验来证实我们的结果。
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