影响肝移植术后患者长期生存的关键因素及术后健康管理策略  

Crucial Factors of Influence on Patients of Long Term Live after Liver Transplantation and Strategy of Health Management Post-operation

作　　者：王乐天[1] 蒲朝煜[2] 陈虹[1] 

机构地区：[1]北京武警总医院移植研究所,北京100039 [2]北京武警总医院核医学科,北京100039

出　　处：《医学与哲学（B）》2013年第5期85-88,共4页Medicine & Philosophy(B)

摘　　要：肝移植患者术后健康管理具有"战略"高度的地位。患者术后良好康复的关键因素有定期随访、按时服用免疫抑制剂和良好日常生活管理。影响患者术后长期生存的主要因素有感染、排异反应、移植肝功能异常、肿瘤复发、胆道问题以及经济压力。对肝移植术后并发症的深入研究和及时有效管控、良好的医患互动、患者良好的依从性和健康的生活方式是保障患者术后长期生存的最重要措施。肝移植术后患者随访就近原则、加大肝移植内科建设和投入,可有效改变我国肝移植术后健康管理水平较低的现况。Health management of the patients after liver transplantation hold a ＂strategy＂standing. The crucial factors of good recovery of patients post- operation are follow- up on time, taking immunosuppresive agents on time and a good management of daily life. The main factors of influence on patients＇ long term live post-operation are infection, rejection, liver dysfunction, recurrence of tumor, biliary duct complication and economic pressure. Research to complication of post-liver transplantation and effective management in time, beneficial interaction between doctors and patients, good depend- ence of patients and healthy life style are the most important measures of protecting long term life of patients post-opera- tion. It may change present situation in lower level on health management after liver transplantation in China that obey the principle of following up nearby hospital of patients and strengthen the construction and investment on the medicine depart- ment of liver transD]~nt^tinn

关 键 词：肝移植 健康管理 并发症 感染 排异反应 

分 类 号：R657.3[医药卫生—外科学]