在接受腹手术的患有病态肥胖症患者显著腹功能障碍的预测得分
Aphichat Suphathamwit1, Kamheang Vacharaksa1, Chaowanan Khamtuikrua1
1Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Journal of obesity & metabolic syndrome
|September 7, 2025
概括
腹筋功能障碍在接受减肥手术的致病性肥胖患者中很常见. 使用年龄和并发症的预测得分可以帮助识别高风险个体,以更好地管理心血管风险.
科学领域:
- 心脏病学 心脏病学
- 腹部外科 腹部外科
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 致病性肥胖是心血管疾病的重要危险因素.
- 扩张功能障碍与不良心血管事件有关,特别是在非心脏手术中.
研究的目的:
- 为了确定患有腹功能障碍的患病性肥胖患者接受腹手术的患病率.
- 用跨食道心声学 (TEE) 识别与腹功能障碍相关的临床风险因素.
主要方法:
- 对113名致病性肥胖患者进行前性观察性研究.
- 通过TEE后麻醉诱导评估的透缩功能.
- 基于E/e'比的功能障碍的分类.
主要成果:
- 在45.1%的患者中发现透支功能障碍.
- 年龄和CPAP用于OSA与高度功能障碍有关.
- 预测得分显示了高风险的高诊断准确性.
结论:
- 腹筋功能障碍在接受减肥手术的致病性肥胖患者中普遍存在.
- 预测得分>120可以识别患有心血管风险增加的患者.
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