腹腔镜可调节胃束带治疗肥胖症护理对策.docVIP

腹腔镜可调节胃束带治疗肥胖症护理对策 张 华 张 军 王子卫 （重庆医科大学附属第一医院胃肠外科，重庆 400016） 【摘要】目的：探讨腹腔镜可调节性胃束带（Swedish Adjustable Gastric BandingSAGB）治疗单纯性肥胖症的近期疗效及围手术期护理的重要性。方法： 对2006年8月至2008年3月收治的8例单纯性肥胖症患者行SAGB治疗，监测手术前及手术后1、3、6、12月的体重及体重指数的变化，患者术后第一个月体重减轻5-10kg为比较理想，若减肥效果不满意，此时可进行第一次调节泵注水调节，体重以1千克/周的速度减轻为适度。护理上，术前给予心理干预、胃肠道准备；术后给予并发症观察、饮食治疗、心理辅导及定期随访等。结果 ：8例患者手术均获成功，术后体重均减轻，术后6个月体重指数由术前的（40.59±2.83）kg/m2降至（28.14±2.72）kg/m2；9-12月后8例患者血压、血糖恢复正常，睡眠呼吸暂停综合症明显减轻。结论： SAGB对单纯性肥胖症有较好的近期疗效，正确有效的护理对策能大大提高手术疗效，使得肥胖引起的并发症好转，提高了患者的生活质量。 【关键词】腹腔镜；胃束带；肥胖症；护理 Therapeutic effect of swedish adjustable gastric banding for simple obesity and nursing management in perioperative period ZHANG Hua,ZHANG Jun，WANG Zi-wei Department of General Surgery, The First Affiliated Hospital, Chongqing Medical University, Chongqing400016, China） 【Abstract】Objective ：To investigate the short-term outcome of swedish adjustable gastric banding(SAGB) for simple obesity and the importance of nursing management in perioperative period. Methods ：Eight simple-obesity patients underwent SAGB from August 2006 to March 2008. body weight and body mass index (BMI) were assessed at the following intervals: preoperation and 1,3,6,12 months post-operation. It is optimal that patients lose weigh 5-10kg during the first month.Now we can adjust injected water volume for the first time if weight reduction is not satisfactory,and it is moderate that reducing 1kg every week. On nursing, preoperative mental intervention and bowel preparation were carried out in 8 patients. Complications observation, diet therapy, psychotherapie and regular follow-up were given to all patients.Results ：every operation was successful.All of the patients lost weight with a mean body mass index decreased from （40.59±1.5）kg/m2 before SAGB to （28.14±4.3）kg/m2 6 months after SAGB.The blood pressure(BP) and blood sugar decrease become normal at month 6 and 9 after SAGB, and the sleep apnea syndrome was relieved. Conclusion ：SAGB is an effective procedure in the treatment o