肾移植术后早期的营养支持  

Early postoperative nutritional support of renal transplantation

作　　者：许萍[1] 沈小志[1] 

机构地区：[1]南京大学医学院附属鼓楼医院营养科,江苏南京210008

出　　处：《肠外与肠内营养》2004年第2期83-85,共3页Parenteral & Enteral Nutrition

摘　　要：目的 :探讨肾移植术后早期的营养支持。　方法 :对 6 4例肾移植病人早期的营养支持方法和营养状况进行回顾性分析。根据病人术后 3周内实际营养摄入量的不同分为A组 (相对高氮摄入量组 )和B组 (相对低氮摄入量组 ) ,每组各 32例。对比其术后第 3周末的氮平衡、体重、清蛋白及血红蛋白、血脂、肾功能的变化情况。　结果 :A组氮平衡显著优于B组 ;两组间体重无明显差异 ;A组血清清蛋白明显高于B组 ;两组血红蛋白无显著差异 ;两组血脂术后除载脂蛋白AIA组显著高于B组外 ,其他指标差异不显著 ;B组肾功能指标恢复明显好于A组。　结论 :肾移植术后早期仍应控制氮的摄入量 ,尽量减轻移植肾负担 。Objective: To study the early postoperative nutritional support of the renal transplantation. Methods:The early intake and nutrition were analysed in 64 case who received the operation of renal transplantation. The patients were divided into group A (32 patients, high amount of nitrogen intake) and group B (32 patients, low amount of nitrogen intake) according to the different amount of actural nutritional intake during the period of postoperative three weeks. On the 21st day of post operation, the changes of the nitrogen balance, weight, albumin, hemoglobin, serum lipids and renal function were evaluated. Results:The nitrogen balance of group A was better than that of group B. But there was no significant difference in weight between the two groups. The level of serum albumin of group A was higher than that of group B. But there was no significant difference in hemoglobin level between the two groups. The level of Apro A of group A was higher than that of group B. The improvement of renal function of group A was less than that of group B. Conclusions:The result suggests that the amount of nitrogen intake in early stage of post operation of renal transplantation should be controlled so that the transplanted kidney could work better.

关 键 词：肾移植术 营养支持 术后 血红蛋白 血脂 肾功能 

分 类 号：R699.2[医药卫生—泌尿科学] R459.3[医药卫生—外科学]