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维生素D水平和脂质谱在正在进行腹腔外科手术的患者中
Isabelle Maria Cabral do Nascimento1, Bruna Merten Padilha2, Maria Lucia Diniz Araujo3
1Universidade Federal de Pernambuco - Recife (PE), Brazil.
腹腔外科手术后的患者往往缺乏维生素D.监测维生素D和脂质概况至关重要,特别是在Roux-en-Y胃旁路手术后,以预防缺陷和管理代谢健康.
科学领域:
- 内分泌学 在内分泌学.
- 代谢手术 代谢手术
- 营养科学 营养科学
背景情况:
- 腹部外科手术患者面临短期和长期的维生素,矿物质和代谢缺乏.
- 这些缺陷是显著的术后并发症,需要谨慎管理.
研究的目的:
- 为了研究血清维生素D水平和肥胖患者的脂质样本之间的关系,在减肥手术后.
- 为了确定维生素D和脂质参数之间的特定关联,在不同的减肥手术中.
主要方法:
- 一个涉及156名从2010年到2018年接受袖子胃切除术或Roux-en-Y胃旁路术的患者的案例系列研究.
- 在手术前和手术后6个月,12个月和24个月收集社会人口统计,临床,实验室和人体统计数据.
主要成果:
- 只有18.9%的患者有足够的手术前维生素D水平 (≥30 ng/mL).
- 手术导致体重减轻和改善脂质配置文件.
- 在Roux-en-Y胃绕道术患者中发现了维生素D和脂质之间的显著相关性:在2年内总胆固醇和HDL阴性,在1年内胆固醇和HDL阳性.
结论:
- 在减肥手术之前和之后,对维生素D和脂质样本的常规监测至关重要.
- 早期发现和管理维生素D缺乏症可以减轻相关的健康风险.
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