病态肥胖症患者腹腔镜袖状胃切除1年后的减重效果及其影响因素分析  

Effect of Laparoscopic Sleeve Gastrectomy on Weight Loss and Its Influencing Factors in Morbid Obesity Patients after 1 Year

作　　者：顾建 王梓冰 杨彦华 韩克 吴国威 顾卓 赵怀鑫 GU Jian;WANG Zibing;YANG Yanhua;HAN Ke;WU Guowei;GU Zhuo;ZHAO Huaixin(Department of General Surgery,Dongda Hospital of Pizhou,Pizhou 221300,China)

机构地区：[1]邳州东大医院普外科,江苏邳州221300

出　　处：《反射疗法与康复医学》2024年第19期154-157,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 探讨病态肥胖症患者腹腔镜袖状胃切除(LSG)1年后减重达标的影响因素。方法 回顾性分析2021年1月—2023年6月邳州东大医院收治的112例病态肥胖症行LSG患者的临床资料,术后随访1年,依据患者减重效果分为减重达标组与减重未达标组。收集两组患者的一般资料、检测患者体质量,采用Logistic回归分析患者基本资料。结果 112例病态肥胖症行LSG患者术后随访1年,减重未达标32例,减重达标80例,减重达标率为71.43%。两组体质指数、家族遗传肥胖史、费用支付方式、总胆红素、直接胆红素、高脂血症、Ⅱ型糖尿病比较,组间差异有统计学意义(P<0.05)。多因素分析结果显示,体质指数、家族遗传肥胖史、费用支付方式、直接胆红素、高脂血症、Ⅱ型糖尿病属于病态肥胖症行LSG患者术后1年减重效果的影响因素(P<0.05)。结论 家族遗传肥胖史、费用支付方式、肝功能异常、高脂血症、Ⅱ型糖尿病为病态肥胖症行LSG患者术后1年减重效果的影响因素,临床中应根据患者的影响因素制订相关干预措施从而减轻患者体重。Objective To explore the influence factors of achieving weight loss after 1 year laparoscopic sleeve gastrectomy(LSG) in morbid obesity patients.Methods The clinical data of 112 morbid obesity patients with LSG admitted to Dongda Hospital in Pizhou from January 2021 to June 2023 were retrospectively analyzed.The patients were followed up for 1 year after surgery.According to the weight loss effect,the patients were divided into a weight loss standard group and a weight loss standard group.The general data of the two groups of patients were collected,the body mass index of the patients was detected,and the basic data of the patients were analyzed by Logistic regression.Results In 112 patients with morbid obesity and LSG followed up for 1 year after surgery,32 cases failed to reach the weight loss standard,80 cases achieved the weight loss standard,the weight loss rate was 71.43%.There were significant differences in body mass index,family history of obesity,payment method,total bilirubin,direct bilirubin,hyperlipidemia and type II diabetes between the two groups(P<0.05).The results of multivariate analysis showed that body mass,family history of obesity,payment method,direct bilirubin,hyperlipidemia and type II diabetes were the influential factors for the weight loss effect of morbid-obese patients with LSG 1year after surgery(P<0.05).Conclusion Family history of obesity,payment method,abnormal liver function,hyperlipidemia,type II diabetes are the influential factors for the weight loss effect of morbid obesity patients with LSG 1 year after surgery.Clinical intervention measures should be formulated according to the influencing factors of patients to reduce the weight of patients.

关 键 词：病态肥胖症 腹腔镜袖状胃切除 减重达标 影响因素 

分 类 号：R589.2[医药卫生—内分泌]