1例糖尿病肾病肾移植术后患者行异种胰岛移植的护理  

Nursing care of a patient with diabetic nephropathy undergoing xenogeneic islet transplantation after kidney transplantation

作　　者：刘晶晶[1] 刘立芳[1] 谢建飞[2] 刘佳[1] 吴小霞[2] LIU Jingjing;LIU Lifang;XIE Jianfei;LIU Jia;WU Xiaoxia

机构地区：[1]中南大学湘雅三医院器官移植中心,长沙市410013 [2]中南大学湘雅三医院护理部,长沙市410013

出　　处：《中华护理杂志》2023年第18期2203-2207,共5页Chinese Journal of Nursing

基　　金：湖南省自然科学基金面上项目(2020JJ4829)。

摘　　要：总结1例糖尿病肾病肾移植术后患者行异种胰岛移植的护理经验。护理要点:术前组建多学科诊疗团队,完善相关检查及准备,保障手术安全;术后开展动态抗凝治疗与出血观察护理,严防排斥反应与感染的发生;全程施行目标导向性血糖管理,并实施系统化健康教育与个性化心理护理等。经过精心的专科护理,患者于住院第26天康复出院,随访至术后4个月,已完全脱离外源性胰岛素治疗。To summarize the nursing experience of a patient with diabetic nephropathy who underwent xenogeneic islet transplantation after kidney transplantation.The key points of nursing mainly include:establishing a multidisciplinary diagnosis and treatment team before surgery,improving relevant examinations and preparations,and ensuring the safety of surgery;postoperative dynamic anticoagulant therapy and bleeding observation and nursing to prevent rejection and infection.The goal-oriented blood glucose management was implemented in the whole process,and systematic health education and personalized psychological nursing were carried out.After careful specialized nursing,the patient recovered on the 26th day of hospitalization and was discharged from hospital.Up to now,the patient has completely separated from exogenous insulin treatment.

关 键 词：异种胰岛移植 肾移植 糖尿病 护理 

分 类 号：R473.6[医药卫生—护理学]