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双极性或精神分裂性情绪障碍患者的减肥手术结果
Matthew Aizpuru1, Amy E Glasgow2, Marita Salame1
1Department of Surgery, Mayo Clinic, Rochester, Minnesota.
概括
与对照组相比,患有双相/精神分裂情绪障碍 (BSD) 的患者的腹腔外科手术导致类似的体重减轻和与肥胖有关的疾病的缓解. 然而,BSD患者在手术后增加了酒精使用,需要心理支持.
科学领域:
- 腹部外科手术的结果
- 心理健康与肥胖问题
- 相对有效性研究研究比较
背景情况:
- 肥胖会带来严重的健康风险和并发症.
- 腹腔外科手术的结果在一般人群中得到了很好的研究.
- 关于双相/精神分裂情绪障碍 (BSD) 患者的减肥手术的数据有限.
研究的目的:
- 评估诊断为双相/精神分裂情绪障碍 (BSD) 的患者减肥手术的结果.
- 为了比较BSD患者和接受减肥手术的匹配对照之间的减肥,疾病缓解和并发症率.
主要方法:
- 从2008年到2021年在梅奥诊所进行的减肥手术的回顾性图表审查.
- 71名BSD患者的倾向性得分匹配 (1:2) 与142名非BSD对照.
- 分析包括体重减轻,与肥胖相关的疾病缓解和术后并发症.
主要成果:
- 与对照组相比,BSD患者在24个月内实现了3.4%的总体重减轻.
- 糖尿病,高血压,失脂症和睡眠呼吸暂停的缓解率在各组之间相似.
- 在BSD患者中较高的深静脉血栓形成率;观察到长期使用酒精的风险增加.
结论:
- 腹部外科手术在BSD患者和对照患者中提供了可比的体重减轻和疾病缓解.
- 术后并发症概况相似,BSD患者的DVT有所增加.
- 在BSD患者中,手术后酒精使用的增加强调了综合心理护理的必要性.
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