摘要
Abstract
Objective To investigate the effect of laparoscopic gastric bypass surgery in the treatment of patients with type 2 diabetes mellitus and low BMI.Methods 50 patients with type 2 diabetes mellitus and low BMI undertaking laparoscopic gastric bypass surgery at our hospital were selected as study objects.The blood lipid,body mass index (BMI),fasting plasma glucose (FPG),meal 2 hours blood glucose (PBG),glycosylated hemoglobin (HbA 1 c),and quality of life were observed in the patients.Results 6 months after laparoscopic gastric bypass surgery,the total cholesterol level was (4.66 ± 0.39) mmol/L,triglyceride level (1.65 ± 0.24) mmol/L,low density lipoprotein level (2.63 ± 0.15) mmol/L,high density lipoprotein level (1.54 ± 0.32) mmol/L,BMI (20.67± 2.01) kg/m2,FPG (5.12 ± 0.31) mmol/L,PBG (5.82 ± 0.65) mmol/L,HbA1C (5.36 ± 0.47)％,physiological function (70.83 ± 4.58),physiological function (61.74 ± 4.35),bodily pain (70.23 ± 4.37),general health (75.46 ±4.28),energy (58.46 ± 4.35),social function (61.81 ± 4.71),emotional function (60.74 ± 4.49),and mental health (60.42 ± 4.82),which were all better than those before treatment in all the patients,with statistical differences (P＜0.05).Conclusions Laparoscopic gastric bypass surgery in the treatment of patients with type 2 diabetes and low BMI has definite clinical efficacy and can significantly improve the patients' indicators and quality of life,so it can be regarded as medication or insulin therapy in patients with type 2 diabetes and worth for clinical application.关键词
腹腔镜胃旁路术/低BMI/2型糖尿病/临床疗效Key words
Laparoscopic gastric bypass surgery/Low BMI/Type 2 diabetes mellitus/Clinical effect
