用BAROS评估的减肥手术患者的长期生活质量
Ana Palacio Agüero1, Ximena Díaz-Torrente2, Camila Zancheta2
1Department of Digestive Surgery, UC Christus Medical Center, Pontificia Universidad Católica de Chile, Santiago, Chile.
Revista medica de Chile
|October 25, 2024
概括
腹腔外科手术 (BS) 带来了良好的长期生活质量 (QoL),大约在手术后10年. 两种Roux-en-Y胃绕道 (RYGB) 和袖子胃切除术 (SG) 都显示出积极的结果,SG可能会提供稍微更好的QoL改善.
科学领域:
- 腹部外科 腹部外科
- 生活质量研究 研究 生命质量研究
- 外科手术的结果
背景情况:
- 减肥手术 (BS) 后,短期生活质量 (QoL) 显著改善.
- 有限证据证实BS后患者的长期QoL是有限的.
- 了解持续的QOL对于患者管理和手术决策至关重要.
研究的目的:
- 分析经过Roux-en-Y胃绕道 (RYGB) 和袖子胃切除术 (SG) 的患者的长期生活质量 (QoL).
- 评估不同减肥手术对患者健康的持续影响,大约10年.
主要方法:
- 评估了来自智利圣地亚哥的257名患者的队列,大约10年后的腹腔外科手术.
- 为了评估结果,使用了腹分析和报告结果系统 (BAROS).
- 在RYGB和SG组之间进行了Moorehead-Ardelt生活质量 (MAQoL) 评分比较.
主要成果:
- 中位数BAROS得分表明RYGB (4.3) 和SG (4.1) 患者的治疗结果良好.
- 袖子胃切除术 (SG) 患者报告了与鲁克斯-en-Y胃绕道术 (RYGB) 患者 (1.3,p=0.047) 相比,在统计学上显著更高的摩尔赫德-阿德尔特生活质量 (MAQoL) 评分 (1.5) .
- 在超重减肥和MAQoL得分之间发现了显著的正相关性 (rho=0.48,p<0.001).
结论:
- 腹腔外科手术 (BS) 患者即使在长期内也表现出良好的生活质量 (QoL),即手术后大约10年.
- 无论是RYGB还是SG,都会有助于持续的积极的QoL结果.
- 过重的体重减轻是与改善长期 QoL 的关键因素.
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