Качество жизни, половая функция и бариатрическая хирургия: систематический обзор

Обоснование. Ожирение связано с многочисленными сопутствующими заболеваниями и влияет на различные аспекты жизни, включая ее качество (КЖ) и сексуальную функцию (СФ). Бариатрическая хирургия (БХ) – эффективный метод лечения людей с ожирением. Тем не менее влияние БХ на КЖ и СФ еще мало изучено.

Цель. Сформировать представление о доступных проспективных данных, касающихся краткосрочных и долгосрочных эффектов БХ на КЖ и СФ.

Методы. Был проведен систематический поиск в базах данных с использованием ключевых слов: «качество жизни», «сексуальная функция» и «бариатрическая хирургия». Были включены только проспективные исследования с КЖ или СФ до и после БХ. «Инструмент оценки качества до/после исследований без контрольной группы» был использован для оценки методологического качества.

Результаты. Двадцать четыре исследования соответствовали критериям включения. Методологическое качество большинства исследований было оценено как «удовлетворительное» и «хорошее». Семь различных опросников были использованы для измерения КЖ и СФ. Во всех исследованиях было обнаружено значительное увеличение КЖ после БХ и небольшое улучшение СФ (P≤0.05).

Заключение. КЖ и СФ улучшаются после БХ как в краткосрочной, так и в долгосрочной перспективе. Тем не менее из-за неоднородности исследований и общности вопросников, их трудно различить между разными БС и увидеть связь с медицинской прибылью. Поэтому разработка измерений КЖ и СФ для населения после БХ рекомендуется в качестве основного направления будущих исследований.

качество жизни, сексуальная функция, бариатрическая хирургия

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