Chinese General Practice ›› 2023, Vol. 26 ›› Issue (07): 800-809.DOI: 10.12114/j.issn.1007-9572.2022.0772
• Original Research·Focus on Diet Management after Bariatric Surgery • Previous Articles Next Articles
Received:
2022-10-27
Revised:
2022-12-22
Published:
2023-03-05
Online:
2022-12-29
Contact:
LIANG Hui
通讯作者:
梁辉
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0772
专家编号 | 年龄(岁) | 专业 | 所在科室(学院) | 职称 | 最高学历 | 工作年限(年) |
---|---|---|---|---|---|---|
1 | 53 | 临床医学 | 减重代谢外科 | 主任医师 | 硕士研究生 | 27 |
2 | 52 | 临床医学 | 减重代谢外科 | 主任医师 | 博士研究生 | 26 |
3 | 38 | 临床医学 | 减重代谢外科 | 副主任医师 | 博士研究生 | 8 |
4 | 53 | 临床医学 | 减重代谢外科 | 主任医师 | 博士研究生 | 23 |
5 | 42 | 临床医学 | 营养科 | 副主任医师 | 硕士研究生 | 20 |
6 | 42 | 护理学 | 减重代谢外科 | 副主任护师 | 硕士研究生 | 22 |
7 | 44 | 护理学 | 减重代谢外科 | 副主任护师 | 硕士研究生 | 27 |
8 | 48 | 护理学 | 减重代谢外科 | 副主任护师 | 本科 | 28 |
9 | 43 | 护理学 | 减重代谢外科 | 副主任护师 | 本科 | 21 |
10 | 46 | 护理学 | 减重代谢外科 | 主任护师 | 本科 | 29 |
11 | 36 | 护理学 | 减重代谢外科 | 主管护师 | 本科 | 16 |
12 | 39 | 护理学 | 减重代谢外科 | 主管护师 | 本科 | 17 |
13 | 31 | 护理学 | 减重代谢外科 | 主管护师 | 本科 | 11 |
14 | 53 | 护理学 | 护理学院 | 教授 | 硕士研究生 | 27 |
15 | 50 | 护理学 | 护理学院 | 教授 | 硕士研究生 | 24 |
Table 1 Information for Delphi consulting experts
专家编号 | 年龄(岁) | 专业 | 所在科室(学院) | 职称 | 最高学历 | 工作年限(年) |
---|---|---|---|---|---|---|
1 | 53 | 临床医学 | 减重代谢外科 | 主任医师 | 硕士研究生 | 27 |
2 | 52 | 临床医学 | 减重代谢外科 | 主任医师 | 博士研究生 | 26 |
3 | 38 | 临床医学 | 减重代谢外科 | 副主任医师 | 博士研究生 | 8 |
4 | 53 | 临床医学 | 减重代谢外科 | 主任医师 | 博士研究生 | 23 |
5 | 42 | 临床医学 | 营养科 | 副主任医师 | 硕士研究生 | 20 |
6 | 42 | 护理学 | 减重代谢外科 | 副主任护师 | 硕士研究生 | 22 |
7 | 44 | 护理学 | 减重代谢外科 | 副主任护师 | 硕士研究生 | 27 |
8 | 48 | 护理学 | 减重代谢外科 | 副主任护师 | 本科 | 28 |
9 | 43 | 护理学 | 减重代谢外科 | 副主任护师 | 本科 | 21 |
10 | 46 | 护理学 | 减重代谢外科 | 主任护师 | 本科 | 29 |
11 | 36 | 护理学 | 减重代谢外科 | 主管护师 | 本科 | 16 |
12 | 39 | 护理学 | 减重代谢外科 | 主管护师 | 本科 | 17 |
13 | 31 | 护理学 | 减重代谢外科 | 主管护师 | 本科 | 11 |
14 | 53 | 护理学 | 护理学院 | 教授 | 硕士研究生 | 27 |
15 | 50 | 护理学 | 护理学院 | 教授 | 硕士研究生 | 24 |
组别 | 例数 | 术后体质量下降值(kg) | 术后BMI下降值(kg/m2) | TWL(%) |
---|---|---|---|---|
减重代谢术后食物偏好不变组 | 7 | 22.0±8.2 | 7.5±2.7 | 22.4±6.7 |
减重代谢术后食物偏好改变组 | 230 | 33.3±14.5 | 11.8±4.8 | 29.3±7.1 |
t值 | -2.047 | -2.318 | -2.512 | |
P值 | 0.042 | 0.021 | 0.013 |
Table 2 Comparison of weight loss outcomes between groups with changed and unchanged food preferences after bariatric surgery
组别 | 例数 | 术后体质量下降值(kg) | 术后BMI下降值(kg/m2) | TWL(%) |
---|---|---|---|---|
减重代谢术后食物偏好不变组 | 7 | 22.0±8.2 | 7.5±2.7 | 22.4±6.7 |
减重代谢术后食物偏好改变组 | 230 | 33.3±14.5 | 11.8±4.8 | 29.3±7.1 |
t值 | -2.047 | -2.318 | -2.512 | |
P值 | 0.042 | 0.021 | 0.013 |
编号 | 条目 | 不变 | 降低 | 增加 |
---|---|---|---|---|
1 | 蔬菜水果 | 103(43.5) | 56(23.6) | 78(32.9) |
2 | 优质蛋白食物(鱼虾等海鲜,鸡肉、鸭肉、瘦牛肉、瘦猪肉等畜禽类,鸡蛋等) | 91(38.4) | 47(19.8) | 99(41.8) |
3 | 辛辣食物(辣椒、麻辣烫、麻辣香锅、辣条等麻辣食品) | 94(39.7) | 124(52.3) | 19(8.0) |
4 | 咸味零食(薯片、爆米花、方便面等膨化食品) | 103(43.5) | 110(46.4) | 24(10.1) |
5 | 精细碳水(米饭、粥、馒头、面条、混沌等) | 56(23.6) | 173(73.0) | 8(3.4) |
6 | 高脂肪肉类(炸鸡、培根、油炸食物、汉堡等) | 111(46.8) | 117(49.4) | 9(3.8) |
7 | 甜食(巧克力、冰激凌、糖果、蛋糕、奶油、饼干等) | 90(38.0) | 124(52.3) | 23(9.7) |
8 | 不含酒精的甜味饮料(奶茶、可乐、雪碧、果汁、运动饮料、加糖咖啡、糖水等) | 103(43.5) | 114(48.1) | 20(8.4) |
Table 3 Food preference changes in patients undergoing bariatric surgery
编号 | 条目 | 不变 | 降低 | 增加 |
---|---|---|---|---|
1 | 蔬菜水果 | 103(43.5) | 56(23.6) | 78(32.9) |
2 | 优质蛋白食物(鱼虾等海鲜,鸡肉、鸭肉、瘦牛肉、瘦猪肉等畜禽类,鸡蛋等) | 91(38.4) | 47(19.8) | 99(41.8) |
3 | 辛辣食物(辣椒、麻辣烫、麻辣香锅、辣条等麻辣食品) | 94(39.7) | 124(52.3) | 19(8.0) |
4 | 咸味零食(薯片、爆米花、方便面等膨化食品) | 103(43.5) | 110(46.4) | 24(10.1) |
5 | 精细碳水(米饭、粥、馒头、面条、混沌等) | 56(23.6) | 173(73.0) | 8(3.4) |
6 | 高脂肪肉类(炸鸡、培根、油炸食物、汉堡等) | 111(46.8) | 117(49.4) | 9(3.8) |
7 | 甜食(巧克力、冰激凌、糖果、蛋糕、奶油、饼干等) | 90(38.0) | 124(52.3) | 23(9.7) |
8 | 不含酒精的甜味饮料(奶茶、可乐、雪碧、果汁、运动饮料、加糖咖啡、糖水等) | 103(43.5) | 114(48.1) | 20(8.4) |
自变量 | 条目1 | 条目2 | 条目3 | 条目4 | 条目5 | 条目6 | 条目7 | 条目8 | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | ||
年龄(岁) | |||||||||||||||||||||||||
18~45 | 8 | 6 | 8 | 7 | 6 | 9 | 9 | 13 | 0 | 8 | 14 | 0 | 2 | 18 | 2 | 13 | 9 | 0 | 10 | 12 | 0 | 12 | 9 | 1 | |
≥45 | 95 | 50 | 70 | 84 | 41 | 90 | 85 | 111 | 19 | 95 | 96 | 24 | 54 | 155 | 6 | 98 | 108 | 9 | 80 | 112 | 23 | 91 | 105 | 19 | |
χ2值 | 0.505 | 0.955 | 2.166 | 4.287 | 4.775 | 2.050 | 2.734 | 1.382 | |||||||||||||||||
P值 | 0.777 | 0.620 | 0.339 | 0.117 | 0.092 | 0.359 | 0.255 | 0.501 | |||||||||||||||||
性别 | |||||||||||||||||||||||||
女 | 80 | 43 | 61 | 67 | 37 | 80 | 68 | 102 | 14 | 76 | 94 | 14 | 39 | 140 | 5 | 80 | 99 | 5 | 60 | 106 | 18 | 72 | 97 | 15 | |
男 | 13 | 13 | 17 | 24 | 10 | 19 | 26 | 22 | 5 | 27 | 16 | 10 | 17 | 33 | 3 | 31 | 18 | 4 | 30 | 18 | 5 | 31 | 17 | 5 | |
χ2值 | 0.038 | 1.448 | 3.215 | 9.903 | 4.194 | 7.789 | 10.641 | 7.274 | |||||||||||||||||
P值 | 0.981 | 0.485 | 0.200 | 0.007 | 0.123 | 0.020 | 0.005 | 0.026 | |||||||||||||||||
婚姻状况 | |||||||||||||||||||||||||
已婚 | 73 | 39 | 46 | 65 | 34 | 59 | 61 | 83 | 14 | 65 | 76 | 17 | 36 | 115 | 7 | 72 | 78 | 8 | 57 | 87 | 14 | 70 | 72 | 16 | |
未婚/离异/丧偶 | 30 | 17 | 32 | 26 | 13 | 40 | 33 | 41 | 5 | 38 | 34 | 7 | 20 | 58 | 1 | 39 | 39 | 1 | 33 | 37 | 9 | 33 | 42 | 4 | |
χ2值 | 3.121 | 3.837 | 0.558 | 1.066 | 1.708 | 2.162 | 1.479 | 2.309 | |||||||||||||||||
P值 | 0.210 | 0.147 | 0.757 | 0.587 | 0.426 | 0.339 | 0.477 | 0.315 | |||||||||||||||||
文化程度 | |||||||||||||||||||||||||
初中及以下 | 12 | 7 | 13 | 11 | 5 | 16 | 15 | 15 | 2 | 9 | 20 | 3 | 7 | 24 | 1 | 12 | 18 | 2 | 8 | 21 | 3 | 17 | 15 | 0 | |
高中/中专 | 22 | 17 | 12 | 16 | 16 | 19 | 18 | 27 | 6 | 27 | 20 | 4 | 12 | 35 | 4 | 24 | 24 | 3 | 23 | 24 | 4 | 24 | 21 | 6 | |
大专及以上 | 69 | 32 | 53 | 64 | 26 | 64 | 61 | 82 | 11 | 67 | 70 | 17 | 37 | 114 | 3 | 75 | 75 | 4 | 59 | 79 | 16 | 62 | 78 | 14 | |
χ2值 | 4.979 | 6.347 | 2.040 | 5.577 | 4.177 | 2.761 | 3.748 | 5.376 | |||||||||||||||||
P值 | 0.289 | 0.175 | 0.728 | 0.233 | 0.244 | 0.599 | 0.441 | 0.251 | |||||||||||||||||
月平均收入(元) | |||||||||||||||||||||||||
<3 000 | 13 | 7 | 12 | 13 | 4 | 15 | 12 | 17 | 3 | 15 | 15 | 2 | 7 | 23 | 2 | 17 | 15 | 0 | 15 | 13 | 4 | 17 | 14 | 1 | |
3 000~5 000 | 30 | 16 | 20 | 24 | 13 | 29 | 25 | 35 | 6 | 28 | 31 | 7 | 13 | 51 | 2 | 33 | 31 | 2 | 29 | 32 | 5 | 32 | 29 | 5 | |
<5 000~8 000 | 29 | 19 | 20 | 25 | 15 | 28 | 26 | 37 | 5 | 27 | 35 | 6 | 17 | 50 | 1 | 28 | 37 | 3 | 20 | 40 | 8 | 23 | 40 | 5 | |
>8 000 | 31 | 14 | 26 | 29 | 15 | 27 | 31 | 35 | 5 | 33 | 29 | 9 | 19 | 49 | 3 | 33 | 34 | 4 | 26 | 39 | 6 | 31 | 31 | 9 | |
χ2值 | 2.068 | 1.886 | 0.893 | 2.386 | 2.840 | 3.393 | 5.276 | 7.539 | |||||||||||||||||
P值 | 0.913 | 0.930 | 0.989 | 0.881 | 0.829 | 0.758 | 0.509 | 0.274 | |||||||||||||||||
工作状况 | |||||||||||||||||||||||||
在职 | 76 | 44 | 55 | 66 | 35 | 74 | 70 | 88 | 17 | 75 | 84 | 16 | 45 | 123 | 7 | 82 | 85 | 8 | 61 | 97 | 17 | 71 | 94 | 10 | |
非在职 | 27 | 12 | 23 | 25 | 12 | 25 | 24 | 36 | 2 | 28 | 26 | 8 | 11 | 50 | 1 | 29 | 32 | 1 | 29 | 27 | 6 | 32 | 20 | 10 | |
χ2值 | 1.096 | 0.133 | 2.953 | 1.058 | 2.677 | 1.141 | 2.947 | 11.550 | |||||||||||||||||
P值 | 0.578 | 0.936 | 0.228 | 0.589 | 0.262 | 0.565 | 0.229 | 0.003 | |||||||||||||||||
长期居住地 | |||||||||||||||||||||||||
北方 | 25 | 10 | 17 | 22 | 11 | 19 | 22 | 22 | 8 | 24 | 18 | 10 | 11 | 38 | 3 | 28 | 21 | 3 | 21 | 25 | 6 | 23 | 28 | 1 | |
南方 | 78 | 46 | 61 | 69 | 36 | 80 | 72 | 102 | 11 | 79 | 92 | 14 | 45 | 135 | 5 | 83 | 96 | 6 | 69 | 99 | 17 | 80 | 86 | 19 | |
χ2值 | 0.873 | 0.761 | 5.905 | 7.562 | 1.304 | 2.470 | 0.562 | 3.818 | |||||||||||||||||
P值 | 0.646 | 0.684 | 0.052 | 0.023 | 0.521 | 0.291 | 0.755 | 0.148 | |||||||||||||||||
术前BMI(kg/m2) | |||||||||||||||||||||||||
≥37.0 | 46 | 32 | 38 | 47 | 26 | 43 | 50 | 57 | 9 | 59 | 46 | 11 | 29 | 83 | 4 | 56 | 57 | 3 | 56 | 56 | 4 | 52 | 54 | 10 | |
32.0~36.9 | 33 | 15 | 25 | 25 | 13 | 35 | 28 | 38 | 7 | 28 | 37 | 8 | 20 | 50 | 3 | 35 | 34 | 4 | 20 | 39 | 14 | 33 | 34 | 6 | |
28.0~31.9 | 24 | 9 | 15 | 19 | 8 | 21 | 16 | 29 | 3 | 16 | 27 | 5 | 7 | 40 | 1 | 20 | 26 | 2 | 14 | 29 | 5 | 18 | 26 | 4 | |
χ2值 | 2.536 | 2.589 | 2.111 | 5.563 | 3.488 | 1.694 | 18.808 | 0.963 | |||||||||||||||||
P值 | 0.638 | 0.629 | 0.715 | 0.234 | 0.480 | 0.792 | 0.001 | 0.915 | |||||||||||||||||
术前合并症 | |||||||||||||||||||||||||
有 | 45 | 30 | 45 | 38 | 25 | 57 | 54 | 57 | 9 | 58 | 50 | 12 | 26 | 90 | 4 | 60 | 57 | 3 | 47 | 64 | 9 | 58 | 53 | 9 | |
无 | 58 | 26 | 33 | 53 | 22 | 42 | 40 | 67 | 10 | 45 | 60 | 12 | 30 | 83 | 4 | 51 | 60 | 6 | 43 | 60 | 14 | 45 | 61 | 11 | |
χ2值 | 3.735 | 4.900 | 2.907 | 2.512 | 0.531 | 1.769 | 1.356 | 2.365 | |||||||||||||||||
P值 | 0.154 | 0.086 | 0.234 | 0.285 | 0.767 | 0.413 | 0.508 | 0.307 | |||||||||||||||||
手术方式 | |||||||||||||||||||||||||
袖状胃切除术 | 90 | 50 | 67 | 83 | 38 | 86 | 81 | 109 | 17 | 88 | 102 | 17 | 51 | 151 | 5 | 102 | 98 | 7 | 74 | 111 | 22 | 89 | 107 | 11 | |
胃旁路术 | 13 | 6 | 11 | 8 | 9 | 13 | 13 | 15 | 2 | 15 | 8 | 7 | 5 | 22 | 3 | 9 | 19 | 2 | 16 | 13 | 1 | 14 | 7 | 9 | |
χ2值 | 0.339 | 3.042 | 0.230 | 9.140 | 5.171 | 4.180 | 4.101 | 23.384 | |||||||||||||||||
P值 | 0.844 | 0.219 | 0.891 | 0.010 | 0.075 | 0.124 | 0.129 | <0.001 | |||||||||||||||||
术后时间(月) | |||||||||||||||||||||||||
>6 | 54 | 22 | 46 | 48 | 20 | 54 | 46 | 65 | 11 | 56 | 54 | 12 | 26 | 91 | 5 | 53 | 63 | 6 | 38 | 66 | 18 | 54 | 55 | 13 | |
3~6 | 49 | 34 | 32 | 43 | 27 | 45 | 48 | 59 | 8 | 47 | 56 | 12 | 30 | 82 | 3 | 58 | 54 | 3 | 52 | 58 | 5 | 49 | 59 | 7 | |
χ2值 | 5.125 | 1.930 | 0.600 | 0.617 | 1.048 | 1.712 | 9.844 | 1.978 | |||||||||||||||||
P值 | 0.077 | 0.381 | 0.741 | 0.735 | 0.592 | 0.425 | 0.007 | 0.372 |
Table 4 Comparison of changes in food preferences after bariatric surgery in patients with different characteristics
自变量 | 条目1 | 条目2 | 条目3 | 条目4 | 条目5 | 条目6 | 条目7 | 条目8 | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | 不变 | 降低 | 增加 | ||
年龄(岁) | |||||||||||||||||||||||||
18~45 | 8 | 6 | 8 | 7 | 6 | 9 | 9 | 13 | 0 | 8 | 14 | 0 | 2 | 18 | 2 | 13 | 9 | 0 | 10 | 12 | 0 | 12 | 9 | 1 | |
≥45 | 95 | 50 | 70 | 84 | 41 | 90 | 85 | 111 | 19 | 95 | 96 | 24 | 54 | 155 | 6 | 98 | 108 | 9 | 80 | 112 | 23 | 91 | 105 | 19 | |
χ2值 | 0.505 | 0.955 | 2.166 | 4.287 | 4.775 | 2.050 | 2.734 | 1.382 | |||||||||||||||||
P值 | 0.777 | 0.620 | 0.339 | 0.117 | 0.092 | 0.359 | 0.255 | 0.501 | |||||||||||||||||
性别 | |||||||||||||||||||||||||
女 | 80 | 43 | 61 | 67 | 37 | 80 | 68 | 102 | 14 | 76 | 94 | 14 | 39 | 140 | 5 | 80 | 99 | 5 | 60 | 106 | 18 | 72 | 97 | 15 | |
男 | 13 | 13 | 17 | 24 | 10 | 19 | 26 | 22 | 5 | 27 | 16 | 10 | 17 | 33 | 3 | 31 | 18 | 4 | 30 | 18 | 5 | 31 | 17 | 5 | |
χ2值 | 0.038 | 1.448 | 3.215 | 9.903 | 4.194 | 7.789 | 10.641 | 7.274 | |||||||||||||||||
P值 | 0.981 | 0.485 | 0.200 | 0.007 | 0.123 | 0.020 | 0.005 | 0.026 | |||||||||||||||||
婚姻状况 | |||||||||||||||||||||||||
已婚 | 73 | 39 | 46 | 65 | 34 | 59 | 61 | 83 | 14 | 65 | 76 | 17 | 36 | 115 | 7 | 72 | 78 | 8 | 57 | 87 | 14 | 70 | 72 | 16 | |
未婚/离异/丧偶 | 30 | 17 | 32 | 26 | 13 | 40 | 33 | 41 | 5 | 38 | 34 | 7 | 20 | 58 | 1 | 39 | 39 | 1 | 33 | 37 | 9 | 33 | 42 | 4 | |
χ2值 | 3.121 | 3.837 | 0.558 | 1.066 | 1.708 | 2.162 | 1.479 | 2.309 | |||||||||||||||||
P值 | 0.210 | 0.147 | 0.757 | 0.587 | 0.426 | 0.339 | 0.477 | 0.315 | |||||||||||||||||
文化程度 | |||||||||||||||||||||||||
初中及以下 | 12 | 7 | 13 | 11 | 5 | 16 | 15 | 15 | 2 | 9 | 20 | 3 | 7 | 24 | 1 | 12 | 18 | 2 | 8 | 21 | 3 | 17 | 15 | 0 | |
高中/中专 | 22 | 17 | 12 | 16 | 16 | 19 | 18 | 27 | 6 | 27 | 20 | 4 | 12 | 35 | 4 | 24 | 24 | 3 | 23 | 24 | 4 | 24 | 21 | 6 | |
大专及以上 | 69 | 32 | 53 | 64 | 26 | 64 | 61 | 82 | 11 | 67 | 70 | 17 | 37 | 114 | 3 | 75 | 75 | 4 | 59 | 79 | 16 | 62 | 78 | 14 | |
χ2值 | 4.979 | 6.347 | 2.040 | 5.577 | 4.177 | 2.761 | 3.748 | 5.376 | |||||||||||||||||
P值 | 0.289 | 0.175 | 0.728 | 0.233 | 0.244 | 0.599 | 0.441 | 0.251 | |||||||||||||||||
月平均收入(元) | |||||||||||||||||||||||||
<3 000 | 13 | 7 | 12 | 13 | 4 | 15 | 12 | 17 | 3 | 15 | 15 | 2 | 7 | 23 | 2 | 17 | 15 | 0 | 15 | 13 | 4 | 17 | 14 | 1 | |
3 000~5 000 | 30 | 16 | 20 | 24 | 13 | 29 | 25 | 35 | 6 | 28 | 31 | 7 | 13 | 51 | 2 | 33 | 31 | 2 | 29 | 32 | 5 | 32 | 29 | 5 | |
<5 000~8 000 | 29 | 19 | 20 | 25 | 15 | 28 | 26 | 37 | 5 | 27 | 35 | 6 | 17 | 50 | 1 | 28 | 37 | 3 | 20 | 40 | 8 | 23 | 40 | 5 | |
>8 000 | 31 | 14 | 26 | 29 | 15 | 27 | 31 | 35 | 5 | 33 | 29 | 9 | 19 | 49 | 3 | 33 | 34 | 4 | 26 | 39 | 6 | 31 | 31 | 9 | |
χ2值 | 2.068 | 1.886 | 0.893 | 2.386 | 2.840 | 3.393 | 5.276 | 7.539 | |||||||||||||||||
P值 | 0.913 | 0.930 | 0.989 | 0.881 | 0.829 | 0.758 | 0.509 | 0.274 | |||||||||||||||||
工作状况 | |||||||||||||||||||||||||
在职 | 76 | 44 | 55 | 66 | 35 | 74 | 70 | 88 | 17 | 75 | 84 | 16 | 45 | 123 | 7 | 82 | 85 | 8 | 61 | 97 | 17 | 71 | 94 | 10 | |
非在职 | 27 | 12 | 23 | 25 | 12 | 25 | 24 | 36 | 2 | 28 | 26 | 8 | 11 | 50 | 1 | 29 | 32 | 1 | 29 | 27 | 6 | 32 | 20 | 10 | |
χ2值 | 1.096 | 0.133 | 2.953 | 1.058 | 2.677 | 1.141 | 2.947 | 11.550 | |||||||||||||||||
P值 | 0.578 | 0.936 | 0.228 | 0.589 | 0.262 | 0.565 | 0.229 | 0.003 | |||||||||||||||||
长期居住地 | |||||||||||||||||||||||||
北方 | 25 | 10 | 17 | 22 | 11 | 19 | 22 | 22 | 8 | 24 | 18 | 10 | 11 | 38 | 3 | 28 | 21 | 3 | 21 | 25 | 6 | 23 | 28 | 1 | |
南方 | 78 | 46 | 61 | 69 | 36 | 80 | 72 | 102 | 11 | 79 | 92 | 14 | 45 | 135 | 5 | 83 | 96 | 6 | 69 | 99 | 17 | 80 | 86 | 19 | |
χ2值 | 0.873 | 0.761 | 5.905 | 7.562 | 1.304 | 2.470 | 0.562 | 3.818 | |||||||||||||||||
P值 | 0.646 | 0.684 | 0.052 | 0.023 | 0.521 | 0.291 | 0.755 | 0.148 | |||||||||||||||||
术前BMI(kg/m2) | |||||||||||||||||||||||||
≥37.0 | 46 | 32 | 38 | 47 | 26 | 43 | 50 | 57 | 9 | 59 | 46 | 11 | 29 | 83 | 4 | 56 | 57 | 3 | 56 | 56 | 4 | 52 | 54 | 10 | |
32.0~36.9 | 33 | 15 | 25 | 25 | 13 | 35 | 28 | 38 | 7 | 28 | 37 | 8 | 20 | 50 | 3 | 35 | 34 | 4 | 20 | 39 | 14 | 33 | 34 | 6 | |
28.0~31.9 | 24 | 9 | 15 | 19 | 8 | 21 | 16 | 29 | 3 | 16 | 27 | 5 | 7 | 40 | 1 | 20 | 26 | 2 | 14 | 29 | 5 | 18 | 26 | 4 | |
χ2值 | 2.536 | 2.589 | 2.111 | 5.563 | 3.488 | 1.694 | 18.808 | 0.963 | |||||||||||||||||
P值 | 0.638 | 0.629 | 0.715 | 0.234 | 0.480 | 0.792 | 0.001 | 0.915 | |||||||||||||||||
术前合并症 | |||||||||||||||||||||||||
有 | 45 | 30 | 45 | 38 | 25 | 57 | 54 | 57 | 9 | 58 | 50 | 12 | 26 | 90 | 4 | 60 | 57 | 3 | 47 | 64 | 9 | 58 | 53 | 9 | |
无 | 58 | 26 | 33 | 53 | 22 | 42 | 40 | 67 | 10 | 45 | 60 | 12 | 30 | 83 | 4 | 51 | 60 | 6 | 43 | 60 | 14 | 45 | 61 | 11 | |
χ2值 | 3.735 | 4.900 | 2.907 | 2.512 | 0.531 | 1.769 | 1.356 | 2.365 | |||||||||||||||||
P值 | 0.154 | 0.086 | 0.234 | 0.285 | 0.767 | 0.413 | 0.508 | 0.307 | |||||||||||||||||
手术方式 | |||||||||||||||||||||||||
袖状胃切除术 | 90 | 50 | 67 | 83 | 38 | 86 | 81 | 109 | 17 | 88 | 102 | 17 | 51 | 151 | 5 | 102 | 98 | 7 | 74 | 111 | 22 | 89 | 107 | 11 | |
胃旁路术 | 13 | 6 | 11 | 8 | 9 | 13 | 13 | 15 | 2 | 15 | 8 | 7 | 5 | 22 | 3 | 9 | 19 | 2 | 16 | 13 | 1 | 14 | 7 | 9 | |
χ2值 | 0.339 | 3.042 | 0.230 | 9.140 | 5.171 | 4.180 | 4.101 | 23.384 | |||||||||||||||||
P值 | 0.844 | 0.219 | 0.891 | 0.010 | 0.075 | 0.124 | 0.129 | <0.001 | |||||||||||||||||
术后时间(月) | |||||||||||||||||||||||||
>6 | 54 | 22 | 46 | 48 | 20 | 54 | 46 | 65 | 11 | 56 | 54 | 12 | 26 | 91 | 5 | 53 | 63 | 6 | 38 | 66 | 18 | 54 | 55 | 13 | |
3~6 | 49 | 34 | 32 | 43 | 27 | 45 | 48 | 59 | 8 | 47 | 56 | 12 | 30 | 82 | 3 | 58 | 54 | 3 | 52 | 58 | 5 | 49 | 59 | 7 | |
χ2值 | 5.125 | 1.930 | 0.600 | 0.617 | 1.048 | 1.712 | 9.844 | 1.978 | |||||||||||||||||
P值 | 0.077 | 0.381 | 0.741 | 0.735 | 0.592 | 0.425 | 0.007 | 0.372 |
自变量 | 降低(以不变为参照) | 增加(以不变为参照) | 降低(以增加为参照) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
b | SE | Wald χ2值 | P值 | OR(95%CI) | b | SE | Wald χ2值 | P值 | OR(95%CI) | b | SE | Wald χ2值 | P值 | OR(95%CI) | |||
条目1 | |||||||||||||||||
术前合并症(以无为参照) | |||||||||||||||||
有 | 0.371 | 0.336 | 1.222 | 0.269 | 1.449(0.751,2.797) | 0.579 | 0.304 | 3.615 | 0.057 | 1.784(0.982,3.240) | -0.208 | 0.357 | 0.339 | 0.560 | 0.812(0.403,1.636) | ||
术后时间(月,以3~6为参照) | |||||||||||||||||
>6 | -0.514 | 0.339 | 2.301 | 0.129 | 0.598(0.308,1.162) | 0.295 | 0.306 | 0.930 | 0.335 | 1.343(0.737,2.447) | -0.809 | 0.358 | 5.092 | 0.024 | 0.445(0.221,0.899) | ||
条目2 | |||||||||||||||||
婚姻状况(以未婚/离异/丧偶为参照) | |||||||||||||||||
已婚 | -0.149 | 0.420 | 0.125 | 0.723 | 0.862(0.379,1.962) | -0.688 | 0.327 | 4.409 | 0.036 | 0.503(0.265,0.955) | 0.539 | 0.406 | 1.764 | 0.184 | 1.714(0.774,3.798) | ||
文化程度(以大专及以上为参照) | |||||||||||||||||
初中及以下 | 0.100 | 0.601 | 0.028 | 0.868 | 1.105(0.340,3.592) | 0.520 | 0.448 | 1.348 | 0.246 | 1.683(0.699,4.050) | -0.420 | 0.579 | 0.526 | 0.468 | 0.657(0.211,2.044) | ||
高中/中专 | 0.912 | 0.435 | 4.382 | 0.136 | 2.488(0.810,5.842) | 0.320 | 0.397 | 0.649 | 0.421 | 1.377(0.632,2.999) | 0.592 | 0.426 | 1.934 | 0.164 | 1.807(0.785,4.161) | ||
术前合并症(以无为参照) | |||||||||||||||||
有 | 0.443 | 0.367 | 1.460 | 0.227 | 1.558(0.759,3.197) | 0.653 | 0.299 | 4.776 | 0.029 | 1.921(1.070,3.451) | -0.210 | 0.363 | 0.334 | 0.563 | 0.811(0.398,1.650) | ||
条目3 | |||||||||||||||||
长期居住地(以南方为参照) | |||||||||||||||||
北方 | -0.432 | 0.366 | 1.396 | 0.237 | 0.649(0.317,1.329) | 0.778 | 0.593 | 1.722 | 0.189 | 2.178(0.681,6.967) | -1.211 | 0.589 | 4.223 | 0.040 | 0.298(0.094,0.946) | ||
条目4 | |||||||||||||||||
年龄(岁,以18~45为参照) | |||||||||||||||||
≥45 | 0.907 | 0.583 | 2.419 | 0.120 | 2.476(0.790,7.760) | -1.856 | 1.309 | 2.010 | 0.156 | 0.156(0.012,2.034) | 2.762 | 1.323 | 4.358 | 0.057 | 4.647(0.184,12.884) | ||
性别(以男为参照) | |||||||||||||||||
女 | 0.596 | 0.386 | 2.388 | 0.122 | 1.815(0.852,3.867) | -0.760 | 0.492 | 2.385 | 0.123 | 0.468(0.178,1.227) | 1.526 | 0.589 | 6.709 | 0.010 | 4.598(1.449,14.589) | ||
长期居住地(以南方为参照) | |||||||||||||||||
北方 | -0.640 | 0.390 | 2.688 | 0.101 | 0.528(0.246,1.133) | 1.336 | 0.565 | 5.603 | 0.018 | 3.806(1.258,11.509) | -1.976 | 0.592 | 11.145 | 0.001 | 0.139(0.043,0.442) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | -0.896 | 0.604 | 2.196 | 0.138 | 0.408(0.125,1.335) | 1.818 | 0.846 | 4.615 | 0.032 | 6.157(1.173,32.324) | -2.713 | 0.908 | 8.925 | 0.003 | 0.066(0.011,0.393) | ||
条目5 | |||||||||||||||||
年龄(岁,以18~45为参照) | |||||||||||||||||
≥45 | 0.810 | 0.651 | 1.550 | 0.213 | 2.248(0.628,8.044) | 1.331 | 1.063 | 1.569 | 0.210 | 3.786(0.471,30.393) | -0.521 | 0.912 | 0.327 | 0.567 | 0.594(0.099,3.545) | ||
性别(以男为参照) | |||||||||||||||||
女 | 0.658 | 0.353 | 3.471 | 0.062 | 1.931(0.966,3.858) | -0.070 | 0.816 | 0.007 | 0.932 | 0.933(0.188,4.620) | 0.728 | 0.780 | 0.869 | 0.351 | 2.070(0.448,9.558) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | 0.356 | 0.535 | 0.443 | 0.506 | 1.428(0.500,4.075) | 1.542 | 0.914 | 2.848 | 0.092 | 4.673(0.780,28.012) | -1.186 | 0.814 | 2.123 | 0.145 | 0.306(0.062,1.506) | ||
条目6 | |||||||||||||||||
性别(以男为参照) | |||||||||||||||||
女 | 0.842 | 0.340 | 6.130 | 0.013 | 2.322(1.192,4.523) | -0.620 | 0.714 | 0.754 | 0.385 | 0.538(0.133,2.181) | 1.463 | 0.727 | 4.045 | 0.044 | 4.318(1.038,17.960) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | 0.914 | 0.440 | 4.305 | 0.038 | 2.493(1.052,5.909) | 1.058 | 0.886 | 1.425 | 0.233 | 2.881(0.507,16.373) | -0.145 | 0.863 | 0.028 | 0.867 | 0.865(0.159,4.698) | ||
条目7 | |||||||||||||||||
性别(以男为参照) | |||||||||||||||||
女 | 0.887 | 0.350 | 6.431 | 0.011 | 2.429(1.223,4.823) | -0.023 | 0.614 | 0.001 | 0.970 | 0.977(0.293,3.256) | 0.910 | 0.610 | 2.224 | 0.136 | 2.485(0.751,8.223) | ||
术前BMI(kg/m2,以28.0~31.9为参照) | |||||||||||||||||
≥37.0 | -0.604 | 0.390 | 2.400 | 0.121 | 0.547(0.255,1.174) | -1.519 | 0.759 | 4.003 | 0.055 | 0.229(0.052,1.014) | 0.915 | 0.726 | 1.587 | 0.208 | 2.496(0.601,10.360) | ||
32.0~36.9 | -0.085 | 0.439 | 0.038 | 0.846 | 0.918(0.388,2.173) | 0.694 | 0.655 | 1.123 | 0.289 | 2.001(0.555,7.219) | -0.779 | 0.593 | 1.726 | 0.189 | 0.459(0.144,1.467) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | -0.658 | 0.431 | 2.327 | 0.127 | 0.518(0.222,1.206) | -1.712 | 1.097 | 2.435 | 0.119 | 0.181(0.021,1.550) | 1.054 | 1.092 | 0.931 | 0.335 | 2.869(0.337,24.409) | ||
术后时间(月,以3~6为参照) | |||||||||||||||||
>6 | 0.478 | 0.298 | 2.573 | 0.109 | 1.613(0.899,2.893) | 1.746 | 0.574 | 9.235 | 0.002 | 5.729(1.858,17.661) | -1.267 | 0.552 | 5.272 | 0.022 | 0.282(0.095,0.831) | ||
条目8 | |||||||||||||||||
性别(以男为参照) | |||||||||||||||||
女 | 0.957 | 0.349 | 7.521 | 0.006 | 2.904(1.314,5.160) | 0.694 | 0.684 | 1.029 | 0.310 | 2.001(0.524,7.645) | 0.316 | 0.719 | 0.193 | 0.660 | 1.372(0.335,5.617) | ||
工作状况(以非在职人员为参照) | |||||||||||||||||
在职人员 | -0.834 | 0.460 | 3.293 | 0.070 | 0.434(0.176,1.069) | 0.205 | 0.962 | 0.045 | 0.832 | 1.227(0.186,8.079) | -1.039 | 0.939 | 1.095 | 0.295 | 0.354(0.051,2.476) | ||
长期居住地(以南方为参照) | |||||||||||||||||
北方 | 0.207 | 0.337 | 0.379 | 0.538 | 1.230(0.636,2.382) | -1.774 | 1.144 | 2.402 | 0.121 | 0.170(0.018,1.599) | 2.066 | 1.149 | 3.232 | 0.072 | 7.890(0.830,74.991) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | -0.516 | 0.524 | 0.969 | 0.325 | 0.597(0.214,1.668) | 1.817 | 1.033 | 3.092 | 0.008 | 6.153(0.812,46.621) | -2.173 | 1.083 | 4.031 | 0.045 | 0.114(0.014,0.950) |
Table 5 Disordered multi-class Logistic regression analysis of factors associated with food preference changes in patients undergoing bariatric surgery with different characteristics
自变量 | 降低(以不变为参照) | 增加(以不变为参照) | 降低(以增加为参照) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
b | SE | Wald χ2值 | P值 | OR(95%CI) | b | SE | Wald χ2值 | P值 | OR(95%CI) | b | SE | Wald χ2值 | P值 | OR(95%CI) | |||
条目1 | |||||||||||||||||
术前合并症(以无为参照) | |||||||||||||||||
有 | 0.371 | 0.336 | 1.222 | 0.269 | 1.449(0.751,2.797) | 0.579 | 0.304 | 3.615 | 0.057 | 1.784(0.982,3.240) | -0.208 | 0.357 | 0.339 | 0.560 | 0.812(0.403,1.636) | ||
术后时间(月,以3~6为参照) | |||||||||||||||||
>6 | -0.514 | 0.339 | 2.301 | 0.129 | 0.598(0.308,1.162) | 0.295 | 0.306 | 0.930 | 0.335 | 1.343(0.737,2.447) | -0.809 | 0.358 | 5.092 | 0.024 | 0.445(0.221,0.899) | ||
条目2 | |||||||||||||||||
婚姻状况(以未婚/离异/丧偶为参照) | |||||||||||||||||
已婚 | -0.149 | 0.420 | 0.125 | 0.723 | 0.862(0.379,1.962) | -0.688 | 0.327 | 4.409 | 0.036 | 0.503(0.265,0.955) | 0.539 | 0.406 | 1.764 | 0.184 | 1.714(0.774,3.798) | ||
文化程度(以大专及以上为参照) | |||||||||||||||||
初中及以下 | 0.100 | 0.601 | 0.028 | 0.868 | 1.105(0.340,3.592) | 0.520 | 0.448 | 1.348 | 0.246 | 1.683(0.699,4.050) | -0.420 | 0.579 | 0.526 | 0.468 | 0.657(0.211,2.044) | ||
高中/中专 | 0.912 | 0.435 | 4.382 | 0.136 | 2.488(0.810,5.842) | 0.320 | 0.397 | 0.649 | 0.421 | 1.377(0.632,2.999) | 0.592 | 0.426 | 1.934 | 0.164 | 1.807(0.785,4.161) | ||
术前合并症(以无为参照) | |||||||||||||||||
有 | 0.443 | 0.367 | 1.460 | 0.227 | 1.558(0.759,3.197) | 0.653 | 0.299 | 4.776 | 0.029 | 1.921(1.070,3.451) | -0.210 | 0.363 | 0.334 | 0.563 | 0.811(0.398,1.650) | ||
条目3 | |||||||||||||||||
长期居住地(以南方为参照) | |||||||||||||||||
北方 | -0.432 | 0.366 | 1.396 | 0.237 | 0.649(0.317,1.329) | 0.778 | 0.593 | 1.722 | 0.189 | 2.178(0.681,6.967) | -1.211 | 0.589 | 4.223 | 0.040 | 0.298(0.094,0.946) | ||
条目4 | |||||||||||||||||
年龄(岁,以18~45为参照) | |||||||||||||||||
≥45 | 0.907 | 0.583 | 2.419 | 0.120 | 2.476(0.790,7.760) | -1.856 | 1.309 | 2.010 | 0.156 | 0.156(0.012,2.034) | 2.762 | 1.323 | 4.358 | 0.057 | 4.647(0.184,12.884) | ||
性别(以男为参照) | |||||||||||||||||
女 | 0.596 | 0.386 | 2.388 | 0.122 | 1.815(0.852,3.867) | -0.760 | 0.492 | 2.385 | 0.123 | 0.468(0.178,1.227) | 1.526 | 0.589 | 6.709 | 0.010 | 4.598(1.449,14.589) | ||
长期居住地(以南方为参照) | |||||||||||||||||
北方 | -0.640 | 0.390 | 2.688 | 0.101 | 0.528(0.246,1.133) | 1.336 | 0.565 | 5.603 | 0.018 | 3.806(1.258,11.509) | -1.976 | 0.592 | 11.145 | 0.001 | 0.139(0.043,0.442) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | -0.896 | 0.604 | 2.196 | 0.138 | 0.408(0.125,1.335) | 1.818 | 0.846 | 4.615 | 0.032 | 6.157(1.173,32.324) | -2.713 | 0.908 | 8.925 | 0.003 | 0.066(0.011,0.393) | ||
条目5 | |||||||||||||||||
年龄(岁,以18~45为参照) | |||||||||||||||||
≥45 | 0.810 | 0.651 | 1.550 | 0.213 | 2.248(0.628,8.044) | 1.331 | 1.063 | 1.569 | 0.210 | 3.786(0.471,30.393) | -0.521 | 0.912 | 0.327 | 0.567 | 0.594(0.099,3.545) | ||
性别(以男为参照) | |||||||||||||||||
女 | 0.658 | 0.353 | 3.471 | 0.062 | 1.931(0.966,3.858) | -0.070 | 0.816 | 0.007 | 0.932 | 0.933(0.188,4.620) | 0.728 | 0.780 | 0.869 | 0.351 | 2.070(0.448,9.558) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | 0.356 | 0.535 | 0.443 | 0.506 | 1.428(0.500,4.075) | 1.542 | 0.914 | 2.848 | 0.092 | 4.673(0.780,28.012) | -1.186 | 0.814 | 2.123 | 0.145 | 0.306(0.062,1.506) | ||
条目6 | |||||||||||||||||
性别(以男为参照) | |||||||||||||||||
女 | 0.842 | 0.340 | 6.130 | 0.013 | 2.322(1.192,4.523) | -0.620 | 0.714 | 0.754 | 0.385 | 0.538(0.133,2.181) | 1.463 | 0.727 | 4.045 | 0.044 | 4.318(1.038,17.960) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | 0.914 | 0.440 | 4.305 | 0.038 | 2.493(1.052,5.909) | 1.058 | 0.886 | 1.425 | 0.233 | 2.881(0.507,16.373) | -0.145 | 0.863 | 0.028 | 0.867 | 0.865(0.159,4.698) | ||
条目7 | |||||||||||||||||
性别(以男为参照) | |||||||||||||||||
女 | 0.887 | 0.350 | 6.431 | 0.011 | 2.429(1.223,4.823) | -0.023 | 0.614 | 0.001 | 0.970 | 0.977(0.293,3.256) | 0.910 | 0.610 | 2.224 | 0.136 | 2.485(0.751,8.223) | ||
术前BMI(kg/m2,以28.0~31.9为参照) | |||||||||||||||||
≥37.0 | -0.604 | 0.390 | 2.400 | 0.121 | 0.547(0.255,1.174) | -1.519 | 0.759 | 4.003 | 0.055 | 0.229(0.052,1.014) | 0.915 | 0.726 | 1.587 | 0.208 | 2.496(0.601,10.360) | ||
32.0~36.9 | -0.085 | 0.439 | 0.038 | 0.846 | 0.918(0.388,2.173) | 0.694 | 0.655 | 1.123 | 0.289 | 2.001(0.555,7.219) | -0.779 | 0.593 | 1.726 | 0.189 | 0.459(0.144,1.467) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | -0.658 | 0.431 | 2.327 | 0.127 | 0.518(0.222,1.206) | -1.712 | 1.097 | 2.435 | 0.119 | 0.181(0.021,1.550) | 1.054 | 1.092 | 0.931 | 0.335 | 2.869(0.337,24.409) | ||
术后时间(月,以3~6为参照) | |||||||||||||||||
>6 | 0.478 | 0.298 | 2.573 | 0.109 | 1.613(0.899,2.893) | 1.746 | 0.574 | 9.235 | 0.002 | 5.729(1.858,17.661) | -1.267 | 0.552 | 5.272 | 0.022 | 0.282(0.095,0.831) | ||
条目8 | |||||||||||||||||
性别(以男为参照) | |||||||||||||||||
女 | 0.957 | 0.349 | 7.521 | 0.006 | 2.904(1.314,5.160) | 0.694 | 0.684 | 1.029 | 0.310 | 2.001(0.524,7.645) | 0.316 | 0.719 | 0.193 | 0.660 | 1.372(0.335,5.617) | ||
工作状况(以非在职人员为参照) | |||||||||||||||||
在职人员 | -0.834 | 0.460 | 3.293 | 0.070 | 0.434(0.176,1.069) | 0.205 | 0.962 | 0.045 | 0.832 | 1.227(0.186,8.079) | -1.039 | 0.939 | 1.095 | 0.295 | 0.354(0.051,2.476) | ||
长期居住地(以南方为参照) | |||||||||||||||||
北方 | 0.207 | 0.337 | 0.379 | 0.538 | 1.230(0.636,2.382) | -1.774 | 1.144 | 2.402 | 0.121 | 0.170(0.018,1.599) | 2.066 | 1.149 | 3.232 | 0.072 | 7.890(0.830,74.991) | ||
手术方式(以胃旁路术为参照) | |||||||||||||||||
袖状胃切除术 | -0.516 | 0.524 | 0.969 | 0.325 | 0.597(0.214,1.668) | 1.817 | 1.033 | 3.092 | 0.008 | 6.153(0.812,46.621) | -2.173 | 1.083 | 4.031 | 0.045 | 0.114(0.014,0.950) |
[1] |
|
[2] |
|
[3] |
杨华,陈缘,董志勇,等. 中国肥胖代谢外科数据库:2020年度报告[J]. 中华肥胖与代谢病电子杂志,2021,7(1):1-7. DOI:10.3877/cma.j.issn.2095-9605.2020.03.001.
|
[4] |
|
[5] |
|
[6] |
|
[7] |
|
[8] |
|
[9] |
王勇,王存川,朱晒红,等. 中国肥胖及2型糖尿病外科治疗指南(2019版)[J]. 中国实用外科杂志,2019,39(4):301-306. DOI:10.19538/j.cjps.issn1005-2208.2019.04.01.
|
[10] |
全国科学技术名词审定委员会事务中心. 昆虫学名词(定义版)[OB/OL].(2016-03-09)[2022-12-19].
|
[11] |
|
[12] |
|
[13] |
|
[14] |
|
[15] |
中华医学会肠外肠内营养学分会营养与代谢协作组,北京协和医院减重多学科协作组. 减重手术的营养与多学科管理专家共识[J]. 中华外科杂志,2018,56(2):81-90. DOI:10.3760/cma.j.issn.0529-5815.2018.02.001.
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
朱涵菲,许勤,赵康,等. 减重代谢术后患者营养管理的证据总结[J]. 中国护理管理,2021,21(6):874-879.
|
[22] |
|
[23] |
|
[24] |
李梦伊,刘洋,刘雁军,等. 大中华减重与代谢手术数据库2021年度报告[J]. 中国实用外科杂志,2022,42(5):550-560. DOI:10.19538/j.cjps.issn1005-2208.2022.05.16.
|
[25] |
|
[26] |
|
[27] |
|
[28] |
马平发. 试析地理环境对我国南北饮食文化差异的影响:以关中地区和黔东南地区为例[J]. 凯里学院学报,2010,28(1):128-132.
|
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