肥胖患者减重代谢手术前营养状况评价  

Assessment of nutritional status in obese patients prior to bariatric surgery

作　　者：李伟婧[1] 石晓磊 孙振 宋京海[1] Li Weijing;Shi Xiaolei;Sun Zhen;Song Jinghai(Department of General Surgery,Beijing Hospital,National Center of Gerontology,Beijing 100730,China)

机构地区：[1]北京医院国家老年医学中心普通外科,100730

出　　处：《国际外科学杂志》2021年第5期323-326,共4页International Journal of Surgery

摘　　要：目的:评估肥胖患者减重术前的营养状况,探讨营养素缺乏的相关因素。方法:回顾性分析2011年1月—2017年12月在北京医院行减重代谢手术的43例肥胖症患者的临床资料。收集性别、年龄、体重指数、体成分分析、营养素的血液检测指标等数据。采用统计软件SPSS 20.0进行数据分析。结果:肥胖患者减重术前缺乏率较高的营养素为维生素D、血清铁、前白蛋白、血红蛋白,分别为100.0%,26.1%,15.4%和7.0%。血红蛋白、前白蛋白、血清铁水平男性患者明显高于女性患者(P=0.000、0.000、0.001)。体脂肪率与25羟基维生素D呈负相关(r=-0.983,P=0.017),与血钠呈正相关(r=0.568,P<0.001)。结论:肥胖患者减重术前存在多种营养素缺乏,减重术前需对患者进行全面的营养评估,及时发现并纠正营养素缺乏。Objective To assess the nutritional status of obese patients prior to bariatric surgery,and to explore the related factors of nutrient deficiency.Methods Clinical data of 43 patients with obesity who underwent bariatric surgery at Beijing Hospital from Jan.2011 to Dec.2017 were retrospectively analyzed.Gender,age,BMI,body composition analysis data,blood test data of nutrients were collected.The software of SPSS 20.0 was used to conduct data analysis.Results Nutrients deficiencies were found for vitamin D(100.0%),iron(26.1%),prealbumin(15.4%)and hemoglobin(7.0%).Hemoglobin,prealbumin,and serum iron levels were significantly higher in male patients than in female patients(P=0.001,0.000 and 0.001,respectively).Body fat percentage was negatively correlated with 25 hydroxyvitamin D(r=-0.983,P=0.017),and positively correlated with serum sodium(r=0.568,P<0.001).Conclusions Obesity patients were presented with a variety of nutritional deficiencies before bariatric surgery.A comprehensive nutrients test should be performed before bariatric surgery,to detect and correct nutrient deficiencies preoperatively.

关 键 词：肥胖症 人体质量指数 回顾性研究 减重代谢手术 营养素缺乏 

分 类 号：R589.2[医药卫生—内分泌]