摘要
目的：研究腹腔镜Roux-en-Y胃旁路术对2型糖尿病患者排气、排便习惯的影响。方法选取2011年2月至2013年3月间行腹腔镜Roux-en-Y胃旁路术70例，以问卷调查的方式对术后6个月以上的患者的排便习惯、排气频率、气味及对日常生活的影响等方面进行统计。结果手术前67.1％的患者认为自己排便习惯正常，68.6％的患者认为排气正常，视觉模拟评分揭示排气、排便情况很少有困扰并不会影响日常生活。手术后47.1％的患者认为自己排便习惯正常，45.7％的患者有稀便和腹泻，稀便患者数增多40％（28／70），术前为7.1％（5／70），差异有统计学意义（P＜0.001），其中42.9％认为与进食高脂肪食物有关（P＜0.001），而便秘的患者明显减少7.1％（5／70），术前为22.9％（16／70），差异有统计学意义（P＝0.016），视觉模拟评分显示57.1％的患者的日常生活及社会活动未受到影响（P＝0.05）。50％的患者认为排气量明显增加，且55.7％有恶臭，与术前比较具有明显差异（P＜0.001），视觉模拟评分显示60％的患者认为这种改变不影响其日常生活及社会交往活动（ P＝0.212）。结论腹腔镜下Roux-en-Y胃旁路术后部分患者出现稀便和腹泻、排气量明显增加及恶臭等不适，但经过适当治疗后，这些改变不会影响其日常生活及社会交往活动。
Objective To observe the impact of laparoscopic Roux-en-Y gastric bypass on bowel habits in patients with type 2 diabetes mellitus（T2DM）.Methods 70 cases of T2DM undergoing laparoscopic Roux-en-Y gastric bypass were studied.Changes in bowel habits, frequency and odor of flatulence, and social life were estimated at least 6 months after surgery using a self-administered questionnaire.Results 67.1%of the patients had normal bowel habit, 68.6%of patients maintained normal flatus before undergoing surgery, and visual ana-logue scale reveals bowel and flatus habit would cause little trouble on daily life.47.1% of patients maintained their normal bowel habit, and 45.7%of patients had loose stools and diarrhea after surgery.The number of pa-tients with loose stools significantly increased（28/70, 40% after surgery vs 5/70, 7.1% before surgery）, with statistical difference（ P〈0.001） .42.9%patients believed that eating high-fat diet was related with loose stools （P〈0.001）.Patients with constipation decreased significantly after surgery（5/70, 7.1% vs the preoperative 16/70, 22.9%）, with statistical difference（P=0.016）.Visual analogue scale showed that 57.1% of patients thought their daily life and social activities were not affected（P=0.05）.50%of patients considered an increase flatus, and 55.7%had malodorous flatus, which had statistical significance compared with those before surgery （ P〈0.001） .A visual analogue scale showed that 60%of patients thought that this change would not affect their daily life and social activities（ P=0.212） .Conclusions After laparoscopic Roux-en-Y gastric bypass surgery, some patients had loose stod, diarrhea, increased flatus and and offensive odor, but after proper treatment these changes do not affect their daily life and social activities.
出处
《中华内分泌外科杂志》
CAS
2015年第3期193-195,共3页
Chinese Journal of Endocrine Surgery
