乌尔米亚伊玛目霍梅尼医院移植中心供肾者肾功能剩余状况及相关因素的研究

E. Kalteh, Shaker Salari lak, A. Taghizadeh Afshari, H. Khalkhali, M. Ghelichi-Ghojogh
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引用次数: 0

摘要

导读:供者在捐献肾脏几年后,由于剩余肾单位代偿血流量增加,对发生过早肾衰竭的担忧已经表达出来。目的:研究活体肾供者的肾功能及其相关因素。患者和方法:收集乌尔米亚伊玛目霍梅尼医院30例肾供者的数据,使用SPSS-22软件进行评估。结果:平均手术时间36.36±6.22年。检查时平均血清肌酐较捐献前显著升高,肾小球滤过率(GFR)显著降低(P<0.001)。男性供者(P=0.025)和与受体无亲属关系的供者(P=0.44)肾功能较好。检查时肾功能为捐献前的74.86%。供体的糖耐量试验(mg/dL 2小时)在研究时与供体前相比显著增加(P=0.049)。结论:供者在捐献7年后剩余肾功能明显下降。似乎肾脏捐赠者需要更多的时间来排出多余的葡萄糖,所以他们远没有过量的碳水化合物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of the kidney function remaining in kidney donors and its related factors in transplant center of Imam Khomeini hospital, Urmia
Introduction: Concerns about the occurrence of premature kidney failure have been expressed a few years after the kidney donation in the donor due to increase in compensatory blood flow in the remaining kidney nephrons. Objectives: This study aimed to study the kidney function remaining in living kidney donors and its related factors. Patients and Methods: Data were collected from 30 kidney donors in Imam Khomeini hospital in Urmia and evaluated using SPSS-22 software. Results: The mean duration of nephrectomy was 36.36 ± 6.22 years. The mean serum creatinine was significantly increased at the time of examination than before donation, and the glomerular filtration rate (GFR) decreased significantly (P<0.001). Male donors (P=0.025) and donors who did not have relative relationship with the recipient (P=0.44) had better kidney function. The renal function at the time of examination was 74.86% amount before donation. The glucose tolerance test (mg/dL 2 hours) of the donors increased significantly at the time of the study compared to the time before donation (P=0.049). Conclusion: The remaining kidney function of the donors has decreased significantly seven years after donation. It seems that kidney donors need more time to excrete excess glucose, so they are far from being over-carbohydrate.
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