腹腔镜减肥手术的围术期全身麻醉管理

摘要

With the development of economy and improvement of people's living standard, the number of overweight and obesity people increases sharply.At present, obesity is not only an independent disease, but also easy to merge a range of other diseases, not only reduced the quality of patients' life, the life expectancy was shortened, but also greatly consumed a national medical and health resources, imposed a significant economic and social burden on the country.Weight reduction can ease and control the obesity related diseases, reduce long-term mortality.At present, especially for morbid obesity patients, laparoscopic bariatric operation is effective for a long time.So, the morbid obesity patients undergoing laparoscopic bariatric surgery represent a particular challenge for the anesthesiologist.This review will focus on the perioperative anesthetic management of morbidly obese patients undergoing laparoscopic bariatric surgery.%随着经济的发展和人民生活水平的提高, 超重甚至肥胖的人数急剧增长. 目前, 肥胖不仅是一个独立的疾病, 而且极易合并一系列其他疾病, 不但降低了患者的生活质量,使其预期寿命缩短,还极大地消耗了各国的医疗卫生资源,给国家造成沉重的社会和经济负担. 体质量减轻可使患者原有的肥胖相关疾病得到缓解和控制,并可大大降低远期病死率. 目前, 特别是对于重度肥胖患者而言,腹腔镜减肥手术对于改善甚至完全缓解肥胖相关并发症是长期有效的. 因此, 行腹腔镜减肥手术的重度肥胖患者的麻醉对麻醉医生提出了新的挑战. 本文拟对接受腹腔镜减肥手术的重度肥胖患者的围术期全身麻醉管理进行综述.