Tritt Laura
Kidney and Pancreas Transplant Program, Indiana University Hospital, Indianapolis, USA.
J Infus Nurs. 2004 Jan-Feb;27(1):45-51. doi: 10.1097/00129804-200401000-00007.
Kidney transplant has become a viable option for patients with end-stage renal disease (ESRD). The number of kidney transplants has steadily increased during the past 50 years. Advances in surgical technique and immunosuppressive drugs have led to significant improvements in survival rates. Many chronic diseases that lead to ESRD negatively affect nutritional status. To minimize nutritional depletion and optimize nutritional status, a complete and thorough evaluation by a registered dietitian should be performed. The posttransplant nutritional goal is to provide adequate nutrition to promote wound healing and anabolism, to prevent infection, and to minimize side effects of medications. Providing adequate nutrition and reducing the long-term side effects are essential for graft survival in kidney transplant recipients
肾移植已成为终末期肾病(ESRD)患者的一种可行选择。在过去50年中,肾移植的数量稳步增加。手术技术和免疫抑制药物的进步使生存率有了显著提高。许多导致ESRD的慢性疾病会对营养状况产生负面影响。为了尽量减少营养消耗并优化营养状况,应由注册营养师进行全面彻底的评估。移植后的营养目标是提供充足的营养以促进伤口愈合和合成代谢、预防感染,并尽量减少药物的副作用。提供充足的营养并减少长期副作用对于肾移植受者的移植物存活至关重要。