首页|肾移植术后淋巴细胞亚群变化与肾功能的相关性分析

肾移植术后淋巴细胞亚群变化与肾功能的相关性分析

Correlation analysis between changes in lymphocyte subsets and renal function after kidney transplantation

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目的 探讨肾移植术后淋巴细胞亚群变化同肾功能之间的相关性.方法 选取2019年1月至2022年12月中山市人民医院收治的60例肾移植术后患者作为研究对象.在术后不同时间点采取患者的外周静脉血进行检测,观察术后15 d及1、3、6个月的肾功能指标、淋巴细胞亚群百分比、淋巴细胞亚群绝对值,并分析T淋巴细胞亚群百分比与绝对值同肾功能的相关性.结果 患者术后四个时间点的血肌酐水平进行比较,差异无统计学意义(P>0.05);术后四个时间点的尿素氮、淋巴细胞亚群百分比以及绝对值进行比较,差异有统计学意义(P<0.05);血肌酐与尿素氮呈正相关(r=0.472,P<0.05),淋巴细胞亚群百分比、绝对值同血肌酐不相关(P>0.05).辅助T淋巴细胞(CD3+CD4+)、抑制T淋巴细胞(CD3+CD8+)百分比分别与尿素氮呈正相关、负相关(r=0.247、-0.269,P<0.05),总T淋巴细胞(CD3+)、CD3+CD4+绝对值均与尿素氮呈负相关(r=-0.259、-0.094,P<0.05).结论 肾移植术后患者的淋巴细胞亚群的动态变化与肾功能密切相关,临床需要在术后对患者的淋巴细胞亚群水平、肾功能指标加强监测,以为后续治疗方案调整提供指导.
Objective To explore the correlation between changes in lymphocyte subsets and renal function after kidney transplantation.Methods A total of sixty postoperative kidney transplant patients admitted to Zhongshan City People's Hos-pital from January 2019 to December 2022 were selected as the study subjects.Peripheral venous blood samples were col-lected from patients at different time points after surgery to observe renal function indicators,lymphocyte subgroup percent-ages,and absolute values at 15 days,1,3,and 6 months after surgery.The correlation between T lymphocyte subgroup per-centages and absolute values and renal function was analyzed.Results There was no statistically significant difference in the blood creatinine levels of patients at four time points after surgery(P>0.05).The urea nitrogen,percentage of lymphocyte subsets,and absolute values at four postoperative time points were compared,and the differences were statistically signifi-cant(P<0.05).There was a positive correlation between blood creatinine and urea nitrogen(r=0.472,P<0.05),while the percentage and absolute value of lymphocyte subsets are not correlated with blood creatinine(P>0.05).The percentages of helper T lymphocytes(CD3+CD4+)and suppressor T lymphocytes(CD3+CD8+)were positively and negatively correlated with urea nitrogen(r=0.247,-0.269,P<0.05).The absolute values of total T lymphocytes(CD3+)and CD3+CD4+were negatively correlated with urea nitrogen(r=-0.259,-0.094,P<0.05).Conclusion The dynamic changes of lymphocyte subsets in pa-tients after kidney transplantation are closely related to renal function.Clinical needs to strengthen monitoring of lymphocyte subset levels and renal function indicators in patients after surgery,and provide guidance for adjusting subsequent treatment plans.

Renal functionKidney transplantationLymphocyte subsetsCorrelation

侯敬财、余意、陈伟翔、龚朝阳、邓德成

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广东省中山市人民医院器官移植病区,广东中山 528404

肾功能 肾移植术 淋巴细胞亚群 相关性

广东省中山市医学科研项目

2021A020274

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(7)
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