中国现代医生2024,Vol.62Issue(9) :41-43,70.DOI:10.3969/j.issn.1673-9701.2024.09.010

76例器官捐献供体临床维护效果分析

Analysis of clinical maintenance effect of 76 organ donors

钟仕利 陈春燕 杜欣 牟继双 杨倩 伍正彬
中国现代医生2024,Vol.62Issue(9) :41-43,70.DOI:10.3969/j.issn.1673-9701.2024.09.010

76例器官捐献供体临床维护效果分析

Analysis of clinical maintenance effect of 76 organ donors

钟仕利 1陈春燕 1杜欣 2牟继双 2杨倩 2伍正彬1
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作者信息

  • 1. 中国人民解放军陆军特色医学中心重症医学科,重庆 400010
  • 2. 中国人民解放军陆军特色医学中心医研部办公室,重庆 400010
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摘要

目的 从重症医学科角度对供体维护手段进行分析,得出供体治疗前后的临床指标差异,总结捐献供体临床维护的治疗经验及效果,为器官捐献供体维护治疗提供更多临床证据.方法 回顾性分析陆军军医大学第三附属医院(陆军特色医学中心)重症医学科 2014 年 1 月至 2021 年 12 月 76 例器官捐献供体,收集供体维护治疗方式,包括机械通气、连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)、肠内营养、肠外营养、肠内及肠外联合营养、血浆置换,同时利用配对t检验对供体治疗前后脏器功能进行对比分析.结果 对 76 例供体的肺、肝脏、肾脏治疗前后进行评估以判定符合捐献的人数,其中肾脏、肝脏治疗前后符合捐献人数比较,差异有统计学意义(P<0.05);肺评估差异无统计学意义(P>0.05).结论 对器官移植供体采取及时有效的脏器维护支持治疗,有利于供体脏器功能恢复,提高供体脏器利用率.

Abstract

Objective By analyzing the means of donor maintenance from the perspective of intensive care medicine,the difference of clinical indicators before and after donor treatment is obtained,summarizing the treatment experience and effect of clinical maintenance of donor donors,and providing more clinical evidence for the maintenance and treatment of organ donation donors.Methods A retrospective analysis was performed on 76 organ donors collected from the Department of Intensive Care Medicine,Army Medical Center,Chinese People's Liberation Army from January 2014 to December 2021,collected donor maintenance treatment,including mechanical ventilation,continuous renal replacement therapy(CRRT)treatment,enteral nutrition and parenteral nutrition,enteral and parenteral nutrition,plasma exchange,at the same time,the paired t test was used to compare the organ function before and after treatment.Results The lung,liver and kidney of 76 donors were evaluated before and after treatment to determine the number of eligible donors.The difference between the number of eligible donors of kidney and liver before and after treatment was statistically significant(P<0.05).There was no significant difference in lung evaluation(P>0.05).Conclusion Timely and effective organ support therapy for organ transplantation donors is beneficial to the recovery of organ function and improve the utilization rate of organ.

关键词

器官捐献/供体维护治疗/符合捐献条件/脏器评估/成功率

Key words

Organ donation/Donor maintenance treatment/Eligible for donation/Organ evaluation/Success rate

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基金项目

重庆市临床重点专科建设项目(2020-186)

出版年

2024
中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
参考文献量15
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