重视代谢外科手术后药物的合理应用

Attach importance to rational application of drugs after metabolic surgery

代谢外科手术具有减重效果理想,能长期维持体质量,控制血糖优于单纯的内科药物治疗等优点.因此,代谢外科手术在中国受到越来越多的重视.国内接受代谢外科手术的患者越来越多,但是外科医师常重视手术,轻视术后药物的应用.该类患者由于术前常常合并有维生素缺乏以及代谢综合征,例如：2型糖尿病、高血压病、多囊卵巢综合征、呼吸睡眠障碍、心血管疾病等,术前一直使用药物控制;行代谢外科手术治疗后患者出现反流性食管炎、溃疡、贫血、钙流失等并发症,术后需要补充维生素以及矿物质.因此,需要重视代谢外科手术后患者药物的合理应用,防止因为服用药物不当导致术后的不良反应,降低术后并发症的发生率.

Metabolic surgery have the ideal weight loss effect,can maintain the long-term ideal weight,and its effects on blood glucose control is better than the simple medical treatment.Therefore,metabolic surgery received widespread attention in China.More and more patients undergo metabolic surgery,but the surgeons often pay attention to the operation,neglecting the use of drugs after surgery.The patients are always complicated with a lack of vitamin and metabolic syndrome,such as type 2 diabetes mellitus,hypertension,polycystic ovary,sleep apnea,cardiovascular disease.Patients have taken drugs before surgery can cause esophageal reflux,ulcer,anemia,loss of calcium and other complications,patients need to be supplied with vitamins and minerals after surgery.So more attention should be paid to the rational application of drugs after surgery,to prevent adverse reactions from improper use of drugs,and reduce the incidence of postoperative complications.