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减肥手术后肥胖患者中的贫血状况变化
Fahimeh Soheilipour1, Delaram Eskandari2, Jamileh Abolghasemi3
1Minimally Invasive Surgery Research Center, Department of Pediatric Endocrinology, Iran University of Medical Sciences, Tehran, IRN.
Cureus
|May 20, 2024
概括
减肥手术会影响贫血的严重程度. 袖子胃切除术和Roux-en-Y胃绕道术显示出比一个解肠胃绕道术更好地减少贫血,甲状腺功能低下症也会影响结果.
科学领域:
- 腹部外科 腹部外科
- 血液学 血液学 血液学
- 内分泌学 在内分泌学.
背景情况:
- 肥胖是一个重大的健康问题,经常与贫血并存.
- 减肥手术是一种有效的肥胖治疗方法,但可以影响营养状况,包括贫血.
- 了解不同手术技术对贫血的影响对于患者管理至关重要.
研究的目的:
- 为了调查贫血严重程度的趋势,在腹腔外科手术后.
- 为了比较袖子胃切除术,一个解肠道胃绕道术和Roux-en-Y胃绕道术对贫血的影响.
- 探索伴随性疾病 (如甲状腺功能低下症) 在贫血结局中的作用.
主要方法:
- 280名肥胖患者 (18-65岁) 接受减肥手术的前性研究.
- 患者被分为袖子胃切除术,一个解肠道胃绕道术和Roux-en-Y胃绕道术组.
- 在12个月内使用统计分析评估贫血严重程度,包括千平方,麦克纳马尔测试和概括估计方程.
主要成果:
- 在手术前,中度贫血率为18.2%-22.4%,没有严重病例;没有显著的群体差异.
- 袖子胃切除术 (OR 2.13) 和Roux-en-Y胃绕道术 (OR 1.91) 显示,相比于一个解肠胃绕道术,减少贫血严重程度的几率更高.
- 甲状腺功能低下症与贫血严重程度降低的几率增加有关 (OR 1.84).
结论:
- 腹腔外科手术类型显著影响贫血的结果.
- 袖子胃切除术在改善贫血严重程度方面表现出更高的疗效.
- 甲状腺功能低下症是治疗贫血症的重要因素.
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