CAJ | 학술논문

目的：探讨肥胖症患者袖状胃切除术的饮食护理及术后饮食指导,以保证患者围术期安全,提高手术疗效及患者术后生活质量。方法对2010年1月至2011年12月在第二军医大学长海医院微创外科实施腹腔镜下袖状胃切除术(laparo-scopic sleeve gastretomy,LSG)的82例肥胖症患者进行规范的围术期饮食护理及指导,术后定期进行营养跟踪教育。结果所有病例均顺利康复出院,并进行至少12个月的术后随访,体质量下降显著,相关并发症亦有不同程度改善。随访期内有15例患者出现脱发症状,其中1例较为严重,经饮食调整或药物治疗后均获不同程度缓解；所有病例均未见其他明显营养相关并发症。结论规范合理的饮食护理和指导是保证手术疗效、减少围术期并发症、避免术后营养相关并发症并提高患者生活质量的重要因素,值得临床推广应用。
목적：탐토비반증환자수상위절제술적음식호리급술후음식지도,이보증환자위술기안전,제고수술료효급환자술후생활질량。방법대2010년1월지2011년12월재제이군의대학장해의원미창외과실시복강경하수상위절제술(laparo-scopic sleeve gastretomy,LSG)적82례비반증환자진행규범적위술기음식호리급지도,술후정기진행영양근종교육。결과소유병례균순리강복출원,병진행지소12개월적술후수방,체질량하강현저,상관병발증역유불동정도개선。수방기내유15례환자출현탈발증상,기중1례교위엄중,경음식조정혹약물치료후균획불동정도완해；소유병례균미견기타명현영양상관병발증。결론규범합리적음식호리화지도시보증수술료효、감소위술기병발증、피면술후영양상관병발증병제고환자생활질량적중요인소,치득림상추엄응용。
Objective To discuss the measures of nutritional care and postoperative diet guidelines for the patients who undergo laparoscopic sleeve gastrectomy(LSG),and to ensure the safety in the perioperative period,getting the best operative efficacy and postoperative quality of life.Methods 82 patients underwent LSG surgery from department of minimally invasive surgery of Changhai Hospital during January 2010 to December 2011 were selected,normative nutritional care and guidelines were carried out,during the perioperative period,and a regular nutritional follow-up and tracking education were given after discharge. Results All the patients were fully recovered and discharged with 1 2 months of follow-up,with significant weight loss and less related complications.During this period,1 5 patients got hair loss,one of which was quite serious.All of them had been symptomatically improved in some degree respectively after dietary modification or medical treatment.All patients had no other significant nutritional-related complication. Conclusion Normative and reasonable nutritional care and education is an important factor of ensuring the best operative efficacy and low perioperative complications,and also a key measure to avoid of postopera-tive nutrition related complications and improve the patients’quality of life,and it worth for clinical trials.