大不里士伊玛目礼萨医院移植患者利尿与肾功能关系的评价

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摘要

肾移植是ESRD患者的首选方法,也是一种具有成本效益的治疗方法,它显著降低了死亡率和疾病并发症。在本研究中,我们旨在探讨利尿对移植患者肾功能的影响。本横断面分析的目的是找出利尿对肾移植患者肾功能的影响。方法对大不里士伊玛目礼萨医学教育中心肾移植患者进行横断面研究。在研究过程中,根据特定的纳入和排除标准对患者进行检查。人口统计信息,包括年龄、性别、手术前一天早晨体重、潜在疾病和透析持续时间(以年为单位)。该研究还包括使用CKD-EPI方程计算患者的GFR,并确定其与恢复尿量和24小时尿量的关系。结果本研究纳入49例肾移植患者。右肾和左肾分别移植42例和7例。本研究显示,患者在恢复室及术后24小时的实验室参数,包括术前钠、术前钾、术前尿素、术前肌酐、术后钠、术后钾、术后尿素、术后肌酐、术前GFR、术后GFR、利尿,与患者的相关性不显著。患者在康复室及术后24小时的年龄、体重等指标与利尿量无显著相关。此外,本研究未发现高血压患者与非高血压患者术前GFR、术后GFR、恢复输出、24小时输出均无显著差异。结论人口学指标、实验室参数与患者利尿量无明显关系。此外,研究发现高血压患者和非高血压患者的GFR和输出量无显著差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Relationship between Diuresis and Kidney Function in Transplant Patients at Tabriz Imam Reza Hospital
Introduction Kidney transplantation is the method of choice and a cost-effective treatment for ESRD patients, which has significantly reduced mortality and complications of the disease. In this study, we aim to investigate the effects of diuresis on renal function in transplant patients. The aim of this cross-sectional analysis is to find out the effects of diuresis on renal function in patients undergoing renal transplantation. Methods This cross-sectional study was conducted on kidney transplant patients at Tabriz Imam Reza Medical Education Center. During the study, patients were examined based on specific inclusion and exclusion criteria. Demographic information, including age, sex, morning weight the day before surgery, underlying disease, and duration of dialysis in years, was recorded. The study also included calculating the patients’ GFR using the CKD-EPI equation and determining its relationship with both recovery urinary output and 24-hour urinary output. Results This study included 49 patients who underwent kidney transplantation. The right and the left kidney was transplanted in 42 and 7 patients respectively. Present study showed that there was no significant relationship between the laboratory parameters of patients, including preoperative sodium, preoperative potassium, preoperative urea, preoperative creatinine, postoperative sodium, postoperative potassium, postoperative urea, postoperative creatinine, preoperative GFR, postoperative GFR, and diuresis of patients in the recovery room and 24 hours after surgery. Additionally, there was no significant relationship between indicators such as age and weight and the amount of diuresis of patients in the recovery room and 24 hours after the operation. Furthermore, this study did not find a significant difference in preoperative GFR, postoperative GFR, recovery output, and 24-hour output between patients with hypertension and the non-hypertensive group. Conclusion There was no significant relationship between demographic indicators and laboratory parameters and the amount of diuresis in patients. Additionally, the study found no significant difference in GFR and output between patients with hypertension and those without hypertension.
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