EVALUATION OF THE EXTERNAL RESPIRATORY FUNCTION IN PATIENTS WITH VARIOUS DEGREES OF OBESITY IN THE PRE-OPERATIVE PERIOD

Аннотация

Purpose of the study. To assess the initial state of the function of external respiration in proctological patients, depending on the degree of obesity in the preoperative period. Methods: The study included 76 patients with varying degrees of obesity and 26 patients with normal body weight for comparison. The study was conducted in the multidisciplinary clinic of the Samarkand State Medical University in Samarkand/Uzbekistan in the period from 2020 to 2022. All patients were prepared for proctological operations in a planned manner. The patients were divided into 5 groups depending on the BMI value. Various comorbidities served as exclusion criteria. Surgical treatment of all patients was carried out in accordance with clinical guidelines approved in the Republic of Uzbekistan. Results: This study evaluated respiratory function in patients with various degrees of obesity. Patients with normal weight had indicators of respiratory function within the normal range. However, overweight patients showed an increase in respiration and a decrease in forced expiratory volume. In patients with obesity of the second degree, more pronounced changes in indicators were determined, including a decrease in forced expiratory flow. Conclusions: As a result of the study, it was found that obesity has a negative impact on the function of external respiration and gas exchange processes. RR, FVC and FEV1 values decrease with increasing degree of obesity, with the most pronounced changes observed in patients with grade 2-3 obesity.