CAJ | 학술논문

目的：总结心脏死亡（donation after cardiac death，DCD）肾移植受者术后腹泻的发生率，分析发生的原因。方法回顾性分析本院实施DCD肾移植手术的91例受者临床资料，评估术后腹泻发生率和分析发生的原因。结果91例受者中发生腹泻83例，腹泻发生率为91.2%。腹泻发生原因与使用免疫抑制剂、肠道菌群失调、感染、肠运动功能障碍有关。结论 DCD肾移植受者术后腹泻发生率高，根据腹泻不同诱因采取相应的护理措施，避免并发症发生，对提高移植效果具有重要意义。
목적：총결심장사망（donation after cardiac death，DCD）신이식수자술후복사적발생솔，분석발생적원인。방법회고성분석본원실시DCD신이식수술적91례수자림상자료，평고술후복사발생솔화분석발생적원인。결과91례수자중발생복사83례，복사발생솔위91.2%。복사발생원인여사용면역억제제、장도균군실조、감염、장운동공능장애유관。결론 DCD신이식수자술후복사발생솔고，근거복사불동유인채취상응적호리조시，피면병발증발생，대제고이식효과구유중요의의。
Objective To study the diarrhea causes and nursing care after kidney transplantation from donation after cardiac death(DCD).Methods The clinical data of 91 patients undergoing kidney transplantations from DCD were retrospectively analyzed from November 2011 to May 2013 in our department,to investigate the incidence of diarrhea and the causes.Results Eighty three cases contracted diarrhea in 91 recipients,with the incidence of diarrhea 91.2%.The use of immunosuppressive agents,intestinal flora,infection and bowel movement dysfunction were all related to the diarrhea.Conclusions The incidence of diarrhea is high and the causes are complex after kidney transplantation from DCD.So nurses should take the appropriate care measures to improve the quality of nursing,avoiding complications and ensuring transplant results based on a different cause of diarrhea.