手术干预对阻塞性睡眠呼吸暂停 (OSA) 和体重指数的影响:一个范围审查
Liang Chye Goh1, Ein Wan Chin1, Benjamin Kye Jyn Tan2
1Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Postgraduate medicine
|May 15, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 的上呼吸道手术不会显著改变身体质量指数 (BMI). 建议在手术后继续监测体重,因为体重变化可能会影响治疗结果.
科学领域:
- 睡眠医学 睡眠医学
- 手术干预 手术干预
- 肥胖问题研究研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一个重大的健康问题.
- 上呼吸道手术为OSA管理提供了连续正气道压力 (CPAP) 的替代方案.
- OSA手术对患者体重的影响仍未得到充分研究.
研究的目的:
- 系统地审查现有的关于OSA手术干预和随后的身体质量指数 (BMI) 变化之间的关系的文献.
主要方法:
- 从2013年到2024年,在五个数据库中进行了全面的文献搜索.
- 包括全文英语文章,详细介绍成人OSA患者手术治疗前后的BMI变化.
- 通过使用纽卡斯尔-太华尺度评估研究质量,并遵循PRISMA-ScR指南.
主要成果:
- 分析了11项涉及6个国家的406名患者的研究.
- 手术前的BMI平均为27.8 kg/m2,在手术后21个月 (27.7 kg/m2) 没有观察到显著变化.
- 分析显示,手术后的BMI没有统计学上显著的差异 (平均差异: -0.29;95%CI: -0.80至0.21),异质性低 (I2=30%) 并且没有出版偏差.
结论:
- 对OSA的上呼吸道手术不会导致BMI的显著变化.
- 作者建议在上呼吸道手术后仔细监测体重,因为体重波动会影响手术结果.
- 干预后体重稳定可能表明OSA治疗需要进一步优化.
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