单纯肥胖患者腹腔镜袖状胃切除术后生活质量的改善

Laparoscopic sleeve gastrectomy improves the quality of life in obese patients

目的:探讨腹腔镜袖状胃切除术对单纯肥胖患者体重控制及生活质量的影响。方法:选取行腹腔镜袖状胃切除术的51例单纯肥胖患者,平均(32.7±2.7)岁,男女比例为15:36,并进行1年临床随访研究,观察肥胖相关指标的改善状况,并利用《SF-36量表》评估患者术前、术后6个月及术后1年生活质量的变化。结果:与术前相比,术后6个月、12个月,患者的体重指数明显改善(P<0.01)。术后6个月,患者生活质量相关维度生理健康总评及心理健康总评两个维度与术前相比明显改善(P<0.05),但低于正常人群[均值(50±10)分]。术后6个月、12个月,情感职能、生理机能、生理职能、躯体疼痛、一般健康状况、社会功能及精力较术前明显改善(P<0.01),精神健康维度与术前相比差异无统计学意义(P>0.05)。结论:单纯肥胖患者接受腹腔镜袖状胃切除术后,体重控制情况及生活质量较术前有明显改善。

Objective： To investigate the effect of laparoscopic sleeve gastrectomy on weight control and quality of life in obese patients. Methods： A total of 51 obese patients undergoing laparoscopic sleeve gastrectomy were gathered obesity related statistics and followed up for 1 year by the quality of life questionnaires（ SF-36） before and after 6 and 12 months. The mean age was（ 32. 7 ± 2. 7）years old,15 of them were men. Results： The postoperative（ 6 and 12 months） body mass index was significantly better than the baseline（ P〈0. 01）. As for the related dimensions of life quality,two dimensions of physical health and mental health,the 6 months＇ postoperative scores were markedly higher than those in the preoperative controls（ P〈0. 05）,but lower than the normal population（ 50 ±10）. As for the emotional function,physiological enginery,physiological function,physical pain,general health status,social function and energy scales,the 6 and 12 months＇ postoperative scores were markedly higher than preoperative data（ P〈0. 01）. There was no significant difference in mental health scale between preoperative and postoperative data（ 6 and 12 months after surgery）. Conclusions：There are significant improvements of weight control and quality of life in obese patients after laparoscopic sleeve gastrectomy.