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巴西肾供体术后晚期的生活质量及手术并发症

Quality of life and surgical complications of kidney donors in the late post-operative period in Brazil.

作者信息

Lima Daniel Xavier, Petroianu Andy, Hauter Heather Lynn

机构信息

Hospital of Clinics of the Federal University of Minas Gerais, Brazil.

出版信息

Nephrol Dial Transplant. 2006 Nov;21(11):3238-42. doi: 10.1093/ndt/gfl433. Epub 2006 Aug 18.

Abstract

BACKGROUND

Live donor kidney transplantation is a procedure conducted with proven efficacy and safety for its recipients, although the post-operative outcome of the donors has been subjected to little investigation.

METHODS

This study assessed 100 donors (34 men and 66 women) for kidney transplants conducted at the Hospital of Clinics of the Federal University of Minas Gerais, Brazil in a post-operative period longer than 2 years. The quality of life evaluation was performed according to the SF-36 health survey.

RESULTS

The quality of life of donors, especially female ones, was equal to or higher than the quality of life of the control group with respect to all the parameters of the short-form health survey. The main complaints were dissatisfaction with the medical service (31%) and with the aspect of the scar (24%). Six percent of the donors regretted the donation and the relationship of 13% of the donors with the recipient of the transplant deteriorated. The rates of overweight and obesity were larger than the Brazilian people averages. The frequency of arterial hypertension did not differ from the average of the Brazilian population, although half of these patients did not previously know their blood pressure levels.

CONCLUSIONS

The quality of life of kidney donors was not different than it was for the healthy individuals of the community, although there were variations among donor subgroups. There was dissatisfaction related to the medical service and over the surgical scar, in addition to prevalence of obesity and arterial hypertension above the expectancy.

摘要

背景

活体供肾移植对受者而言是一种疗效和安全性已得到证实的手术,尽管供者的术后结局鲜有研究。

方法

本研究评估了巴西米纳斯吉拉斯联邦大学临床医院进行肾移植手术且术后超过2年的100名供者(34名男性和66名女性)。根据SF-36健康调查进行生活质量评估。

结果

就简式健康调查的所有参数而言,供者尤其是女性供者的生活质量等于或高于对照组。主要抱怨是对医疗服务不满意(31%)以及对疤痕外观不满意(24%)。6%的供者后悔捐赠,13%的供者与移植受者的关系恶化。超重和肥胖率高于巴西人群平均水平。动脉高血压的发生率与巴西人群平均水平无差异,尽管这些患者中有一半之前并不知道自己的血压水平。

结论

肾供者的生活质量与社区健康个体并无差异,尽管供者亚组之间存在差异。除了肥胖和动脉高血压的患病率高于预期外,还存在对医疗服务和手术疤痕的不满。

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