中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2009年
5期
280-283
,共4页
肾移植%营养支持%围手术期
腎移植%營養支持%圍手術期
신이식%영양지지%위수술기
Kidney transplantation%Nutrition support%Peri-operation stage
目的 探讨肾移植患者嗣手术期的营养支持方法.方法 将肾移植术后进行营养支持的67例患者随机分为A组(相对高氮摄入量组,n=24)、B组(中等氮摄入量组,n=25)和C组(相对低氮摄入量组,n=18).检测其术前1 d和术后2周的血红蛋白、白蛋白、部分营养指标、血脂水平以及肾功能的恢复情况.结果 3组间体重差异无显著性;A组氮平衡显著优于B组和C组(P＜0.05);A组和B组血清白蛋白和血红蛋白比较差异无显著性,但是显著高于C组(P＜0.05);C组肾功能指标恢复优于A组和B组(P＜0.05);3组甘油三酯水平差异无显著性,A组胆同醇水平显著高于B组和C组(P＜0.05),B组和C组比较差异无显著性.结论 肾移植术后早期适宜的氮供给量不仅可以减轻移植肾的负担,促进肾脏功能的恢复,还可以改善患者的营养状况.
目的 探討腎移植患者嗣手術期的營養支持方法.方法 將腎移植術後進行營養支持的67例患者隨機分為A組(相對高氮攝入量組,n=24)、B組(中等氮攝入量組,n=25)和C組(相對低氮攝入量組,n=18).檢測其術前1 d和術後2週的血紅蛋白、白蛋白、部分營養指標、血脂水平以及腎功能的恢複情況.結果 3組間體重差異無顯著性;A組氮平衡顯著優于B組和C組(P＜0.05);A組和B組血清白蛋白和血紅蛋白比較差異無顯著性,但是顯著高于C組(P＜0.05);C組腎功能指標恢複優于A組和B組(P＜0.05);3組甘油三酯水平差異無顯著性,A組膽同醇水平顯著高于B組和C組(P＜0.05),B組和C組比較差異無顯著性.結論 腎移植術後早期適宜的氮供給量不僅可以減輕移植腎的負擔,促進腎髒功能的恢複,還可以改善患者的營養狀況.
목적 탐토신이식환자사수술기적영양지지방법.방법 장신이식술후진행영양지지적67례환자수궤분위A조(상대고담섭입량조,n=24)、B조(중등담섭입량조,n=25)화C조(상대저담섭입량조,n=18).검측기술전1 d화술후2주적혈홍단백、백단백、부분영양지표、혈지수평이급신공능적회복정황.결과 3조간체중차이무현저성;A조담평형현저우우B조화C조(P＜0.05);A조화B조혈청백단백화혈홍단백비교차이무현저성,단시현저고우C조(P＜0.05);C조신공능지표회복우우A조화B조(P＜0.05);3조감유삼지수평차이무현저성,A조담동순수평현저고우B조화C조(P＜0.05),B조화C조비교차이무현저성.결론 신이식술후조기괄의적담공급량불부가이감경이식신적부담,촉진신장공능적회복,환가이개선환자적영양상황.
Objective To investigate the early post-operative nutritional support for kidney transplant recipients.Methods Totally 67 patients who received early post-operative nutrition supports were randomly divided into three groups:group A (n = 24,relatively high nitrogen intake),group B (n = 25,intermediate nitrogen intake) and group C (n = 18,relatively low nitrogen intake).Two weeks after operation,albumin,hemoglobin,the nutrition indieators,serum lipids,and renal function 1 day before operation and 2 weeks after operation were evaluated. Results Body weight was significantly different among three groups;the nitrogen balance in group A was significantly better than those in groups B and C (P ＜0.05);albumin and hemoglobin were not significantly different between group A and group B (P ＞ 0.05),but were significantly higher than those in group C (P ＜ 0.05).The renal function in group C was significantly better than those in group A and group B (P ＜ 0.05).The triglyceride level was not significantly different among three groups,while the cholesterol level in group A was significantly higher than those in group B and group C (P ＜ 0.05),but not between group B and group C.Conclusion Proper nitrogen intake in early post-operative nutrition support can improve the recovery of renal function and nutritional status in kidney transplant recipients.
