目的

探索中国患者接受减肥手术的影响因素，以进一步提高肥胖与代谢病外科在中国人群中的接受和普及度。

方法

收集从2009年5月至2012年5月在南京医科大学第一附属医院减重门诊接受诊治的230名肥胖患者（BMI≥32 kg/m²）的临床资料，186例患者同意提供年龄、婚姻、收入、教育、医疗保险、不良嗜好、既往减肥史、减肥失败原因、减肥效果期望值等各方面的数据，其中84例患者接受了减肥手术治疗。使用logistic回归模型检验各方面数据对减肥手术接受程度的影响。

结果

在一般情况方面， BMI较高的人群更易接受减肥手术治疗；身高越低的人群，接受减肥手术的意愿越强；嗜食作为一种肥胖症患者常见的不良习惯，与减肥手术的接受程度明显呈正相关；在经济情况方面，收入、保险水平与减肥手术的接受程度呈负相关；在减肥预期方面，减肥期望值越高，减肥手术的接受程度也越高；在减肥教育资源来源方面，手术组和非手术组之间，各项指标差异均无统计学意义，但“病友介绍”这一项需要收集更多样本以确定是否和减肥手术的接受程度相关。

结论

在中国，对于经济水平较高的肥胖症患者，需进一步加强对其减肥手术治疗的宣传和教育工作；对于经济水平较低的患者，最需要的是医疗补助。

Objective

To explore the influence factors on the acceptance levels of bariatric surgery and also improve the acceptance and common knowledge of bariatric surgery in Chinese patients.

Methods

Clinical data of 230 obese patients who were received by weight loss clinic of the First Affiliated Hospital of Nanjing Medical University from May 2009 to May 2012 were analyzed, and 186 obese patients(BMI≥32 kg/m²) were willing to provide all kinds of data about their ages, marital status, income level,education background, medical insurance, bad habits, history of weight loss, causes of weight loss failure,weight loss expectation. Eighty-four of these patients underwent bariatric surgery. The data was analyzed by Logistic Regression test.

Results

In general situation, population with higher BMI was easier to accept bariatric surgery; on the other hand, people with lower height was more willing to accept bariatric surgery;gluttonous behavior which was seen as a common bad habits for obese patients were strong positive correlated to acceptance of bariatric surgery; in economic situation, income levels and insurance levels were negative correlated to acceptance of bariatric surgery; in weight loss expectations, people with higher expectations of weight loss had higher acceptance of bariatric surgery; in resources of weight loss education, all indexes were not statistical different between surgical group and non-surgical group, but the item of introduction from patients will need more samples to make sure if it is correlated to acceptance of bariatric surgery.

Conclusions

In mainland of China, we need to strengthen advocacy and educational work for obese people with higher economic level, and the people with low economic levels will need more medical assistance.