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肥胖是否真的会影响脏移植的结果?
L Caamiña1, A Pietropaolo2, G Basile3
1Nefrología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain; Urología, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain; Servicio de Urología, Hospital Universitario de Southampton NHS Foundation Trust, Southampton, United Kingdom.
Actas urologicas espanolas
|August 21, 2023
概括
超重和肥胖的移植接受者经历了更多的并发症,如延迟的移植功能和手术问题. 然而,患者和移植的存活率没有降低,尽管需要更长的随访.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植手术 移植手术
- 肥胖医学 肥胖医学
背景情况:
- 移植是末期病的首选治疗方法.
- 在移植候选人和接受者中,超重和肥胖很普遍.
- 肥胖与不良结果有关,包括移植功能的延迟,排斥和心血管死亡率.
研究的目的:
- 评估过重和肥胖的移植患者的临床结果.
- 为了确定与移植后更高的体重指数 (BMI) 相关的短期和长期并发症.
主要方法:
- 一个描述性的,观察性的,横截面的研究.
- 分析了104名脏或胰腺-脏移植接受者.
- 根据BMI分组患者进行比较分析,随访时间为2021年4月.
主要成果:
- 超重的患者有更长的手术,更多的伤口衰变,延迟的移植功能,,和蛋白尿.
- 肥胖患者表现出延迟移植功能的增加,蛋白尿,糖尿病,心房动和更长的住院时间.
- 两组人都需要更多的脏活检.
结论:
- 尽管伴随性疾病增加,但超重和肥胖并没有减少该队列患者或移植存活率.
- 需要进一步的长期跟踪,以充分了解BMI对移植结果的影响.
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