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目的:探讨活体供肾切取术对供体生理和社会心理健康的影响,进一步推动活体亲属供肾移植的发展。方法:回顾性总结分析本科42例亲属肾供体病死率、术后并发症及肾功能、血压、尿蛋白情况。同时根据SF-36健康调查(36-item short- form health survey)和改进的11条问卷题目的结果,从主观厅面分析供体供。肾切取后心理上的变化。结果:42例供体供肾切取术后病死率为0,手术前后肌酐水平分别为(60.1±12.5)mmol/L和(77.9±17.0)mmol/L,肌酐清除率分别为(107.6±2712)ml/ min和(75.9±24.1)mL/min,收缩压分别为123 mmHg和125 mmHg,舒张压分别为78 mmHg和79 mmHg,24 h尿蛋白分别为(0.06±0.1 1)g和(0.07±0.10)g。亲属肾供体SF-36健康调查分值高于一般中国人群。结论:活体亲属供肾切取术后病死率为零,血肌酐在正常范围内,血压在正常范围内,尿蛋白无增加。活体供肾切取术对供体社会心理无明显影响,供体生活质量无明显改变。
Objective: To investigate the influence of living donor kidney transplantation on donor’s physiology and social psychology and to further promote the development of living donor kidney transplantation. Methods: Retrospective analysis of 42 cases of undergraduate kidney donor mortality, postoperative complications and renal function, blood pressure, urinary protein. At the same time, donor donations were analyzed from the subjective room according to the results of the 36-item short-form health survey and the improved 11 questionnaire questions. Kidney cut after psychological changes. Results: The mortality rate of donor and kidneys was 42 in all cases, and the creatinine levels were (60.1 ± 12.5) mmol / L and (77.9 ± 17.0) mmol / L respectively before and after operation. The creatinine clearance rates were (107.6 ± 2712) ml and 75.9 ± 24.1 mL / min respectively. The systolic blood pressure was 123 mmHg and 125 mmHg, diastolic pressure was 78 mmHg and 79 mmHg respectively. The 24 h urinary protein was (0.06 ± 0.1 1) g and (0.07 ± 0.10) g. Relatives kidney donor SF-36 health survey scores higher than the average Chinese population. Conclusion: The mortality of living relatives after donor excision is zero. Serum creatinine is within the normal range and blood pressure is within the normal range. Urine protein is not increased. Living donor excision did not significantly affect the social psychology of donors, and there was no significant change in donor quality of life.