减肥和代谢手术对类风湿性关节炎结果的影响:系统性审查
Saoussen Miladi1,2, Yasmine Makhlouf1,2, Hiba Boussaa1,2
1Department of Rheumatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia.
PloS one
|November 17, 2023
概括
患有类风湿性关节炎 (RA) 的患者的腹和代谢手术 (BMS) 与疾病活性降低以及死亡率和并发症风险降低有关. 这篇评论强调BMS作为肥胖RA患者的有希望的选择.
科学领域:
- 医学科学 医学科学 医学科学
- 手术科学 手术科学
- 类风湿病学 类风湿病学
背景情况:
- 肥胖是一种全球流行病,与炎症增加有关,并对类风湿性疾病产生负面影响.
- 腹和代谢手术 (BMS) 越来越多地用于2型糖尿病等并发症.
- BMS对类风湿性关节炎 (RA) 结果的影响需要进行更新的审查.
研究的目的:
- 系统地审查关于BMS对RA结果影响的最新文献.
- 评估BMS对RA肥胖患者疾病活性,发病率和死亡率的影响.
主要方法:
- 按照PRISMA指南进行系统审查.
- 搜索了PubMed,Embase和Cochrane数据库,截至2023年6月16日.
- 包括关于BMS对RA患者的影响的原始文章.
主要成果:
- 分析了三项研究 (2015-2022年),涉及33,193名RA患者 (6,700名BMS患者).
- 在BMS后的体重减轻与12个月后较低的RA疾病活性相关 (p<0.05).
- 与非手术RA患者相比,BMS与显著降低的发病率 (OR=0.45) 和住院死亡率 (OR=0.41) 相关.
结论:
- 腹和代谢手术在肥胖个体的类风湿关节炎管理方面显示出有前途.
- 已发表的数据表明,BMS可以降低RA疾病的活性.
- 在肥胖患者中,BMS可能会降低与RA相关的发病率和死亡率.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


