肝移植术后随访患者的饮食指导  

Diet guidance for patients undergoing follow-up after liver transplantation

作　　者：胡正斌[1] 周鑫[1] 仲福顺 熊艳[1] 叶啟发[1,2] 

机构地区：[1]武汉大学中南医院,武汉大学肝胆疾病研究院,移植医学技术湖北省重点实验室,湖北武汉430071 [2]中南大学湘雅三医院,卫生部移植医学工程技术研究中心,湖南长沙410013

出　　处：《实用器官移植电子杂志》2016年第4期236-238,共3页Practical Journal of Organ Transplantation(Electronic Version)

基　　金：国家自然科学基金新疆联合项目(U1403222)

摘　　要：目的总结肝移植术后随访患者的饮食指导。方法对82例肝移植术后随访患者进行饮食指导,饮食原则以低盐、低糖、低脂肪、高维生素和适量的优质蛋白(动物蛋白)为主,少食多餐。通过运动与饮食,将体重的增长水平控制在移植前体重的10 kg以内。结果随访患者的生活质量得到明显的提高,体重的增长均控制在10 kg以内,免疫抑制剂的血药浓度均在相对较为理想的范围内。结论有效的健康教育及正确的饮食指导,有助于维持肝移植术后随访患者的身心健康,降低患者的感染率,减少并发症,保护移植肝功能,是肝移植术后的重要治疗部分。Objective To summarize the dietary guidance for patients who are undergoing follow-up after liver transplantation. Methods Dietary guidance were conducted in a total of 82 cases of liver transplantation patients with postoperative follow-up dietary guidance, diet principle is the low salt, low sugar, low fat, high vitamin and right amount of high-quality protein（animal protein）, eating little but often throughout the day. Through the exercise along with that kind of diet, the increasing range of weight should be controlled within 10 kg. Results The quality of life of patients undergoing follow-up has greatly been improved, the increasing range of weight were controlled within 10 kg and the blood concentrations of immunosuppressants were within the relatively ideal scope. Conclusion The effective health education and the right dietary guidance, which help maintain the physical and mental health of patients who are undergoing follow-up after liver transplantation, reduce the rates of patients＇ infection and complications and protect the function of transplanted livers are important parts of the treatment after liver transplantation.

关 键 词：肝移植 随访 饮食指导 

分 类 号：R657.3[医药卫生—外科学]