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减重代谢手术后复胖影响因素及防治措施的研究进展

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肥胖已成为全球范围内重要的公共卫生问题。减重代谢手术是治疗顽固性肥胖症及相关代谢性疾病的重要方法,但术后复胖易导致患者抑郁、焦虑等心理问题及糖尿病、高血压、脂肪肝等代谢性疾病进展。减重代谢手术后复胖的原因复杂,包括解剖学因素、饮食及运动习惯、肠道激素、心理状态等,可采取相应的预防及治疗措施如营养状况监测、心理状态评估、药物干预及修正手术。本文就减重代谢手术后复胖影响因素及防治措施的研究进展作一综述。
Influencing factors,prevention and treatment of weight regain after bariatric surgery
Obesity has become an important public health problem worldwide.Bariatric surgery is an important method for the treatment of intractable obesity and related metabolic diseases,but the postoperative weight regain would easily lead to psychological problems such as depression and anxiety and metabolic diseases such as diabetes,hypertension and fatty liver.The causes of weight regain after surgery are complex,including anatomical factors,diet,exercise habits,intestinal hormones,psychological state,etc.The corresponding preventive and therapeutic measures include nutritional monitoring,psychological status assessment,drug intervention and revisional surgery.This paper reviews the research progress of the influencing factors,prevention and treatment of weight regain after bariatric surgery.

obesitybariatric surgeryweight regainrevisional surgery

陈紫来、王尚鑫、郭振、赵英志、李玉龙、晋新峰、孙培春

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河南大学人民医院河南省人民医院胃肠外科,河南郑州 450003

郑州大学人民医院河南省人民医院胃肠外科,河南郑州 450003

肥胖症 减重代谢手术 复胖 修正手术

2024

中华实用诊断与治疗杂志
中华预防医学会 河南省人民医院

中华实用诊断与治疗杂志

CSTPCD
影响因子:1.276
ISSN:1674-3474
年,卷(期):2024.38(1)
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