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不同体重指数的2型糖尿病腹腔镜胃旁路术后临床疗效对比研究

黎飞 金迪 张玉新 吴良平 戴晓江 张红兵 康慧鑫 郄文斌 宋丹丹 唐柚青

局解手术学杂志Issue(2):150-153,4.
局解手术学杂志Issue(2):150-153,4.DOI:10.11659/jjssx.12E014046

不同体重指数的2型糖尿病腹腔镜胃旁路术后临床疗效对比研究

Clinical effect comparison of the type 2 diabetes mellitus with different BMI after the laparoscopic gastric bypass

黎飞 1金迪 2张玉新 3吴良平 3戴晓江 3张红兵 3康慧鑫 3郄文斌 4宋丹丹 5唐柚青6

作者信息

  • 1. 广州军区广州总医院 南方医科大学临床学院研究生队,广东 广州510000
  • 2. 广州军区广州总医院 营养科,广东 广州510000
  • 3. 广州军区广州总医院 普通外科,广东 广州510000
  • 4. 广州军区广州总医院 麻醉科,广东 广州510000
  • 5. 广州军区广州总医院 内分泌科,广东 广州510000
  • 6. 广州军区广州总医院 重症医学科,广东 广州510000
  • 折叠

摘要

Abstract

Objective To explore impact of BMI on the clinical efficacy of treatment of type 2 diabetes mellitus after the laparoscopic gastric bypass. Methods Twenty patients were randomly selected from type 2 diabetes mellitus patients with BMI of 25 ~28 kg/m2 after laparoscopic gastric bypass surgery in our hospital from 2010 to 2013,20 patients from type 2 diabetes mellitus patients with BMI of 28~35 kg/m2 and 20 patients from type 2 diabetes mellitus patients with BMI≥35 kg/m2 . Accordingly,the total of 60 patients were divided into low BMI group,middle BMI group and high BMI group. The difference of the rate of blood glucose control and other indicators between three groups were compared and analyzed. Results The rate of blood glucose control in low BMI group was 75%,middle BMI group was 85%, and high BMI group was 90%. There was no statistical difference of the rate of blood glucose control between three groups at 12 months after laparoscopic gastric bypass surgery. The blood glucose and weight obviously improved in all patients,and fasting insulin and postprandial ser-um insulin decreased at 12 months after laparoscopic gastric bypass surgery. Conclusion All the patient of type 2 diabetes mellitus with dif-ferent BMI in three group can acquire satisfying clinical therapeutic effect after the laparoscopic gastric bypass.

关键词

体重指数/腹腔镜胃旁路术/2型糖尿病/腹腔镜

Key words

BMI/laparoscopic gastric bypass/type 2 diabetes mellitus/laparoscope

分类

医药卫生

引用本文复制引用

黎飞,金迪,张玉新,吴良平,戴晓江,张红兵,康慧鑫,郄文斌,宋丹丹,唐柚青..不同体重指数的2型糖尿病腹腔镜胃旁路术后临床疗效对比研究[J].局解手术学杂志,2015,(2):150-153,4.

基金项目

863计划子课题(2008AA022503),广东省自然科学基金(S2011010000472),广东省科技计划项目(2011B050400041) (2008AA022503)

局解手术学杂志

OACSTPCD

1672-5042

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