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腹腔外科手术和心脏结构和功能:系统性审查和网络元分析

Xiao-Qian Zhang^1,2, Ke-Ning Chen^3,4, Zu-Xuan Zhang^1,2

¹Graduate School, Beijing University of Chinese Medicine, Beijing, China.

Obesity reviews : an official journal of the International Association for the Study of Obesity

|October 8, 2024

概括

胃绕道手术显著改善肥胖患者的心脏结构,比其他减肥手术更重要. 然而,没有一种减肥手术显著增强了心脏功能 (左心室喷射分数).

科学领域:

心脏病学心脏病学
代谢手术代谢手术
肥胖医学肥胖医学

背景情况:

肥胖是心血管疾病的主要危险因素.
减肥手术是一种有效的肥胖治疗方法,但其对心脏的影响有所不同.
了解不同减肥手术对心脏健康的影响至关重要.

研究的目的:

系统地审查和执行一个网络对减肥手术对心脏结构和功能的有效性进行元分析.
为了比较各种减肥手术对彼此和非手术干预的效果.

主要方法:

在PubMed,Web of Science和EMBASE数据库中进行了系统的搜索.
包括的研究将减肥手术与对照或其他手术方法进行了比较.
评估结果包括左心室质量 (LVM),左心室质量指数 (LVMI) 和左心室喷射率 (LVEF) 的变化.

主要成果:

胃外围手术显著减少了LVM和LVMI,与其他减肥手术相比.
在任何类型的减肥手术中,没有观察到左心室射出分数 (LVEF) 的显著改善.
胆腺转移与十二指甲切换导致身体质量指数减少最为显著.

结论:

胃绕道在改善心脏结构方面表现出优越的有效性,在减肥手术中.
目前的证据不支持任何减肥手术显著改善心脏功能 (LVEF).
需要进一步的研究来阐明这些对心脏结构和功能的差异影响背后的机制.

关键词:

腹部外科手术腹部手术心脏功能是指心脏功能.心脏结构的心脏结构网络元分析网络元分析

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