心脏死亡器官捐献肾移植受者术后腹泻的原因分析及护理

Causes of diarrheas from kidney transplantation from donation after cardiac death and nursing strategy

目的总结心脏死亡(donation after cardiac death,DCD)肾移植受者术后腹泻的发生率,分析发生的原因。方法回顾性分析本院实施DCD肾移植手术的91例受者临床资料,评估术后腹泻发生率和分析发生的原因。结果 91例受者中发生腹泻83例,腹泻发生率为91.2%。腹泻发生原因与使用免疫抑制剂、肠道菌群失调、感染、肠运动功能障碍有关。结论 DCD肾移植受者术后腹泻发生率高,根据腹泻不同诱因采取相应的护理措施,避免并发症发生,对提高移植效果具有重要意义。

Objective To study the diarrhea causes and nursing care after kidney transplantation from donation after cardiac death （ DCD ）. Methods The clinical data of 91 patients undergoing kidney transplantations from DCD were retrospectively analyzed from November 2011 to May 2013 in our department, to investigate the incidence of diarrhea and the causes. Results Eighty three cases contracted diarrhea in 91 recipients, with the incidence of diarrhea 91.2%. The use of immunosuppressive agents, intestinal flora, infection and bowel movement dysfunction were all related to the diarrhea. Conclusions The incidence of diarrhea is high and the causes are complex after kidney transplantation from DCD. So nurses should take the appropriate care measures to improve the quality of nursing, avoiding complications and ensuring transplant results based on a different cause of diarrhea.