CCWL随访系统对肥胖症患者减重效果影响的回顾性研究
Retrospective study on the effect of CCWL follow-up system on weight loss in obese patients
杜燕敏 1王亮 2田红梅 2阿民布和 2张能维 2陈静1
作者信息
- 1. 首都医科大学护理学院,北京 100069;首都医科大学附属北京世纪坛医院减重代谢外科,北京 100038
- 2. 首都医科大学附属北京世纪坛医院减重代谢外科,北京 100038
- 折叠
摘要
目的 探讨世纪云减重(century cloud weight loss,CCWL)随访系统对减重术后患者的饮食行为依从性、随访率、减重效果等方面的影响.方法 选取 2022 年于首都医科大学附属北京世纪坛医院实施减重手术的 222 例肥胖症患者为研究对象.将 2022 年 1 月至 6 月的 108 例患者纳入对照组,采用常规随访管理模式;2022 年 7 月至 12 月的 114 例患者纳入干预组,采用CCWL随访系统进行随访管理.比较两组患者减重术后的饮食行为依从性、术后随访率、多余体质量减少百分比(percentage of excess weight loss,%EWL)、糖脂代谢指标.结果 术后 1 个月、3 个月、6 个月,干预组患者减重术后的饮食行为量表(eating behavior after bariatric surgery,EBBS)评分、随访率、%EWL均显著高于对照组(P<0.05);术后1个月,两组患者的三酰甘油(triacylglycerol,TG)、高密度脂蛋白胆固醇(high-density lipoprotein cholesterol,HDL-C)、空腹血糖(fasting blood glucose,FBG)比较差异均无统计学意义(P>0.05),干预组患者的餐后 2h血糖(2-hour postprandial blood glucose,2hBG)均显著低于对照组(P<0.05);术后 3 个月、6 个月,干预组患者的TG、FBG、2hBG均显著低于对照组,HDL-C显著高于对照组(P<0.05).结论 CCWL随访系统应用于减重术后患者可改善术后饮食行为,提高术后随访率,强化术后减重效果.
Abstract
Objective To explore the effect of century cloud weight loss(CCWL)follow-up system on the dietary behavior compliance,follow-up rate and weight loss effect of patients after bariatric surgery.Methods A total of 222 obese patients undergoing Beijing Shijitan Hospital Affiliated to Capital Medical University in 2022 were selected as the study subjects.A total of 108 patients from January to June 2022 were included in control group,and routine follow-up management mode was adopted.A total of 114 patients from July to December 2022 were included in intervention group and were followed up by CCWL follow-up system.The dietary behavior compliance,postoperative follow-up rate,percentage of excess weight loss(%EWL),glucose and lipid metabolism indexes were compared between two groups.Results At 1 month,3 months and 6 months after surgery,the eating behavior after bariatric surgery(EBBS)score,follow-up rate and%EWL of patients in intervention group were significantly higher than those in control group(P<0.05).At 1 month after surgery,there was no significant difference in triacylglycerol(TG),high-density lipoprotein cholesterol(HDL-C),fasting blood glucose(FBG)levels in two groups(P>0.05),and 2-hour postprandial blood glucose(2hBG)in intervention group was significantly lower than that in control group(P<0.05).At 3 months and 6 months after surgery,TG,FBG and 2hBG in intervention group were significantly lower than those in control group,while HDL-C was significantly higher than that in control group(P<0.05).Conclusion The application of CCWL follow-up system in patients with bariatric surgery can improve postoperative eating behavior,increase postoperative follow-up rate,and strengthen the effect of postoperative weight loss.
关键词
减重手术/肥胖症/随访系统/饮食依从性Key words
Bariatric surgery/Obesity/Follow-up system/Dietary compliance引用本文复制引用
基金项目
北京市海淀区卫生健康发展科研培育计划(HP2022-04-506004)
出版年
2024
国家科技期刊平台
NSTL
万方数据