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腹腔外科手术后尿水平的变化
Carol Chiung-Hui Peng1, Cheng Han2, Nipawan Waisayanand3
1Section of Endocrinology, Diabetes, Nutrition & Weight Management, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA; Hualien Tzu Chi Hospital, Haulien City, Taiwan.
概括
在充足的区域进行腹腔外科手术不会导致缺或影响甲状腺功能. 尿液中的度和甲状腺刺激激素水平在手术后保持在正常范围内.
科学领域:
- 内分泌学 在内分泌学.
- 腹部外科手术的结果
- 营养科学 营养科学
背景情况:
- 肥胖是美国的主要健康问题.
- 减肥手术在减肥方面是有效的,但可能导致微量营养素缺乏.
- 对于甲状腺激素的合成至关重要.
研究的目的:
- 评估腹手术后尿度 (UIC) 的变化.
- 评估减肥手术对状态和甲状腺功能的影响.
主要方法:
- 研究了85名接受了腹腔镜袖子胃切除术或Roux-en-Y胃旁路术的成年人.
- 尿液中的度和血清甲状腺刺激激素在基线和手术后3个月被测量.
- 饮食中的摄入量和多维生素的使用也被记录下来.
主要成果:
- 手术后UIC中位数显著增加 (201至334.5μg/L).
- 平均体重指数显著下降 (44.0至35.8).
- 平均甲状腺刺激激素水平显著下降 (1.5~1.1 IU/mL).
- 在手术类型之间没有观察到结果的显著差异.
结论:
- 在充足的区域进行腹腔外科手术不会导致缺.
- 治疗后没有观察到甲状腺功能的临床显著变化.
- 不同的腹手术引起的胃肠道变化不会显著影响状态.
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