肾移植与物理治疗

Kidney transplantation and physiotherapy

背景:选择正确的方案防治肾移植并发症有助于提高移植肾的近远期存活效果。目的:探讨肾移植术后并发症的物理治疗效果。方法:由作者应用计算机检索维普数据库中肾移植与物理疗法有关文献,检索时限为1998-01/2010-10。检索关键词:肾移植;并发症;物理治疗。纳入标准:①选取针对性强,相关度高的文献。②排除一些重复性研究或较陈旧文献。对资料进行初审,并查看每篇文献后的引文。检索文献30篇,其中18篇文献符合标准。结果与结论:同种异体肾移植后大剂量免疫抑制剂的应用,降低了机体抵抗力,增加了各种疾病的感染因素。在药物综合治疗的基础上,采用传统的针灸疗法、紫外线照射、低能量氦-氖激光照射、高频电疗法等多种局部的物理疗法可控制感染、促进创面愈合、缩短病程、减少后遗症。

BACKGROUND：Proper protocol for prevention and treatment of complications of kidney transplantation helps increase the short-and long-term survival after kidney transplantation. OBJECTIVE：To investigate the curative effects of physiotherapy on complications after kidney transplantation. METHODS：A computer-based retrieval was performed to search the manuscripts describing kidney transplantation and physiotherapy in Weipu database published between January 1998 and October 2010 with the key words kidney transplantation, complication, physiotherapy. Inclusion criteria：highly related manuscripts;manuscripts with repetitive contents or obsolete references were excluded. Thirty manuscripts were first reviewed and reference read, and 18 manuscripts were included in the final analysis.RESULTS AND CONCLUSION：After renal allograft transplantation, application of high dose of immunosuppressive agent decreases organism＇s resistance and increases the infection factor of various diseases. Based on drug treatment, conventional acupuncture and moxibustion therapy, ultraviolet irradiation, low-intensity helium-neon laser irradiation, and high frequency electrotherapy can control infection, promote wound healing, shorten disease course, and reduce sequelae.