在减肥手术之前,多式节制方法失败的风险因素
Pia Jaeger1,2, Marie Mortier2, Ahmad Alhazmi1
1Department of General and Visceral Surgery, Marien Hospital Witten, Teaching Hospital of the Ruhr-University Bochum, Marienplatz 2, 58452 Witten, Germany.
BJS open
|February 7, 2024
概括
在减肥手术之前的手术前多式保守方法 (MCA) 通常无法实现减肥目标. 改善的身体健康与BMI损失相关,但整体趋势显示BMI增长,需要修订的腹前治疗计划.
科学领域:
- 肥胖医学 肥胖医学
- 腹腔外科 手术前护理 手术前护理
- 在体重管理中的行为健康
背景情况:
- 多种模式的保守方法 (MCA) 是低体重手术的标准手术前护理.
- 这项研究研究了MCA治疗失败的风险因素.
研究的目的:
- 为了确定与治疗失败相关的风险因素,在手术前多式保守方法 (MCA) 减肥手术.
- 评估当前MCA在减肥前减肥过程中的有效性.
主要方法:
- 在德国肥胖症中心对209名接受3-6个月手术前MCA的患者进行前性分析.
- MCA包括饮食,运动,心理/内分泌学转诊以及支持小组.
- 体重指数 (BMI) 的变化是主要结果;SF-36,DASS-21和SOEP评估了福祉,压力和社会经济因素.
主要成果:
- 患者在MCA期间平均增加了0.23公斤/平方米的BMI,这表明无法实现减肥.
- 社会,人口,经济或各种健康特征对治疗过程没有显著的影响.
- 体重指数下降与身体健康之间的正相关性;与心理健康和感知压力之间的负相关性,尽管影响很小.
结论:
- 目前在减肥手术的多模式概念中进行手术前的保守治疗对于减肥是无效的.
- 建议在临床前进行重点关注手术准备的修订后的保守减肥计划.
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