Assesment of the dynamics of the quality of life of patients with morbid obesity and severe obstructive sleep apnea syndrome against the background of optimizing the tactics of perioperative rehabilitation

   Introduction. Obstructive sleep apnea syndrome (OSA) is a common disease in patients with morbid obesity. The prevalence of OSA among obese patients varies from 60 to 90 %. The need for CPAP-therapy as part of the complex perioperative rehabilitation of patients with morbid obesity and severe OSA is undeniable. There are a large number of dedicated to the perioperative management of patients with obesity and OSA, but never give specific dates for preoperative assessment.

   The aim of this study was to evaluate the dynamics of the quality of life in patients with obesity and severe OSA against the background of optimizing the tactics of perioperative rehabilitation.
   Materials and methods of research. Dynamics of the quality of life was studied in 70 patients with morbid obesity and sever OSA at various stages of perioperative rehabilitation using the SF-36 questionnaire; enhanced perioperative rehabilitation was used in relation to 35 patients.
   Treatment results. There was a positive trend in the level of quality of life in patients of both groups at each of the stages of study. Enhanced perioperative rehabilitation used in patients of group I; the quality of life in these patients did not differ from those in the group of healthy people after 12 months.
   Conclusion. The use of the enhanced perioperative rehabilitation contributes to a more rapid improvement in the quality of life of patients in comparison with the perioperative rehabilitation with an intragastric balloon implantation.

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