肥胖症患者袖状胃切除术的围手术期饮食指导  

Exploration on the perioperative dietary guidance of sleeve gastrectomy for obese patients

作　　者：赵敏[1] 徐晓平[1] 周兰殊 段冬娥 孙薇[1] 刘颖彦 彭湘群[1] Zhao Min;Xu Xiaoping;Zhou Lanshu;Duan Dong'e;Sun Wei;Liu Yingyan;Peng Xiangqun(Department of Minimally Invasive Hepatobiliary Surgery&Weight Loss Metabolic Surgery,the People's Hospital of Hunan Province,Hunan Changsha 410005)

机构地区：[1]湖南省人民医院肝胆微创外科&减重代谢外科,湖南长沙410005

出　　处：《中国社区医师》2021年第8期165-166,共2页Chinese Community Doctors

基　　金：基于动态变化的减重代谢术后个体化营养干预模式的构建;湖南省卫生健康委课题编号:202114021842

摘　　要：目的:探究行袖状胃切除术的肥胖症患者饮食护理及术后饮食指导。方法:2018年3月-2020年3月收治行袖状胃切除术的肥胖症患者28例,均实施饮食护理及术后饮食指导,跟踪巡访6个月,比较手术前后患者腹围、体重、体重指数(BMI)及不良反应发生情况。结果:患者术后1个月、3个月及6个月腹围、体重及BMI均低于术前,且呈良性发展趋势,差异有统计学意义(P<0.05);经随访调查,不良反应均有所改善。结论:对行袖状胃切除术的肥胖症患者实施饮食护理及术后饮食指导可提高手术效果,体重相关指标均明显降低且不良反应发生率较低。Objective:To explore the dietary nursing and postoperative dietary guidance of obese patients undergoing sleeve gastrectomy.Methods:From March 2018 to March 2020,28 obese patients who underwent sleeve gastrectomy were followed up for 6 months.The abdominal circumference,body weight,BMI index and adverse reactions were compared before and after operation.Results:The abdominal circumference,body weight and BMI index of the patients at 1 month,3 months and 6 months after operation were lower than those before operation,and showed a benign development trend,and the difference was statistically significant(P<0.05).The adverse reactions were improved after follow-up investigation.Conclusion:Diet nursing and postoperative diet guidance for obese patients undergoing sleeve gastrectomy can improve the effect of operation,the related indexes of body weight are significantly reduced and the incidence of adverse reactions is lower.

关 键 词：肥胖症 袖状胃切除术 饮食护理 术后饮食指导 

分 类 号：R473.6[医药卫生—护理学]