老年患者肝移植术后非感染性腹泻的原因分析及护理  

Causes and nursing of noninfectious diarrhea for elderly patients received liver transplant-ation

作　　者：豆秋江[1] 陈公云[1] 叶海丹[1] 曾丽珍[1] 

机构地区：[1]中山大学附属第一医院器官移植中心,广州510080

出　　处：《齐齐哈尔医学院学报》2013年第18期2754-2756,共3页Journal of Qiqihar Medical University

基　　金：国家自然青年基金(280026);广东省医学科研基金(A2013198)

摘　　要：目的 探讨老年患者肝移植术后发生非感染性腹泻的原因及护理.方法 回顾性分析2007年1月至2013年2月我中心31例老年患者肝移植术后非感染性腹泻的临床资料,总结其原因与护理经验.结果 本组18例（58.1％）为服用骁悉（MMF）所致,5例（16.1％）为服用索拉非尼所致,4例（12.9％）因长期使用抗生索引起,4例（12.9％）是采用胆总管空肠Roux-Y吻合术式的肝移植术后病人.持续时间为2～8d,平均为（3.4±1.1）d.经对症处理及精心护理后均可好转.结论 正确评估腹泻、根据腹泻的性质进行饮食指导、注意观察治疗用药的效果以及预防水电解质紊乱、肛周皮肤糜烂等是护理老年患者肝移植术后腹泻的重要措施.Objective To investigate the causes of noninfectious diarrhea for elderly patients got liver transplantation and nursing for them. Methods Thirty-one elderly patients with noninfectious diarrhea after liver transplantation in our center from January2007 to February2013 were selected. Retrospectively analyzed the causes of diarrhea and nursing experiences. Results The diarrhea were caused by CellCept （ 18/31,58.1% ）, sorafenib （5/31, 16.1% ）, long-term treatment with antibiotics （4/31, 12.9% ） or common bile duct jejunum Roux-Y anastomosis digestive tract reconstruction in liver transplantation （4/31, 12.9% ）. The average duration of diarrhea was 3.4 ± 1. 1d（2 -8d）. All patients recovered after symptomatic treatment and careful nursing. Conclusions Assess diarrhea severity, diet guidance according to the properties of diarrhea, observe the effect of treatment, prevent water and electrolyte disorders and perianal skin erosion are important nursing interventions for elderly patients got noninfectious diarrhea after liver transplantation.

关 键 词：老年患者 肝移植 腹泻 护理 

分 类 号：R256.34[医药卫生—中医内科学]