抗抑郁药使用对腹手术后手术后减肥的影响

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Sinead Haugh¹, Paul Cromwell², Richelle Kirrane³

¹Department of Psychiatry, Blanchardstown Mental Health Services, Connolly Hospital, Blanchardstown, Dublin, West, Ireland. sineadmhaugh@gmail.com.

Irish journal of medical science

|September 20, 2023

概括

抗抑郁药的使用,特别是那些具有中等体重增加风险的药物,与减肥手术后一年的总体重减轻有关. 建议由专家进行仔细的药物管理,以获得最佳的患者结果.

科学领域:

腹部外科腹部外科
精神病学是一个精神病学.
药理学药理学是指药理学的学科.

背景情况:

抗抑郁药物药物经常与体重增加有关.
优化减肥手术的结果需要仔细考虑处方药.
在接受减肥手术的患者中,同时出现的精神疾病很常见.

研究的目的:

为了研究抗抑郁药的使用之间的联系,按体重增加风险分层,和体重减轻结果1年后腹部外科手术.
为了确定特定的抗抑郁药类是否影响减肥手术后的总体重减轻 (TWL).

主要方法:

在2018年7月至2021年期间,对315名接受减肥手术的患者进行了回顾性分析.
根据体重增加风险分层使用抗抑郁药;对照组没有使用抗抑郁药.
主要结局:6周,6个月和12个月的TWL%;用于12个月分析的多变量线性回归.

主要成果:

70名患者 (22.2%) 服用抗抑郁药.
接受中等风险体重增加抗抑郁药的患者在12个月后的TWL平均百分比显著下降 (p=0.015).
整体抗抑郁药的使用不是12个月后TWL%的显著预测因素 (p=0.0836).

结论:

减肥手术中的心理药物管理患者可能会从专家的投入中受益,例如减肥精神科医生.
解决心理健康和手术结果之间的复杂相互作用至关重要.
个性化药物治疗策略可以帮助优化腹腔外科手术后的减肥和患者整体福祉.

关键词:

抗抑郁药是一种抗抑郁药.腹腔外科手术是什么意思总体百分比减肥的百分比总体减肥的百分比体重增加体重增加

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