1例糖尿病肾病肾移植术后患者行异种胰岛移植的护理

doi:10.3761/j.issn.0254-1769.2023.18.004

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (18): 2203-2206.DOI: 10.3761/j.issn.0254-1769.2023.18.004

1例糖尿病肾病肾移植术后患者行异种胰岛移植的护理

刘晶晶(), 刘立芳, 谢建飞, 刘佳, 吴小霞()

410013 长沙市中南大学湘雅三医院器官移植中心（刘晶晶，刘立芳，刘佳），护理部（谢建飞，吴小霞）

收稿日期:2023-04-03 出版日期:2023-09-20 发布日期:2023-09-22
通讯作者: 吴小霞，E-mail：171970473@qq.com
作者简介:刘晶晶：女，硕士，主管护师，E-mail：759683305@qq.com
基金资助:
湖南省自然科学基金面上项目(2020JJ4829)

Nursing care of a patient with diabetic nephropathy undergoing xenogeneic islet transplantation after kidney transplantation

LIU Jingjing(), LIU Lifang, XIE Jianfei, LIU Jia, WU Xiaoxia()

Received:2023-04-03 Online:2023-09-20 Published:2023-09-22

摘要/Abstract

摘要：

总结1例糖尿病肾病肾移植术后患者行异种胰岛移植的护理经验。护理要点：术前组建多学科诊疗团队，完善相关检查及准备，保障手术安全；术后开展动态抗凝治疗与出血观察护理，严防排斥反应与感染的发生；全程施行目标导向性血糖管理，并实施系统化健康教育与个性化心理护理等。经过精心的专科护理，患者于住院第26天康复出院，随访至术后4个月，已完全脱离外源性胰岛素治疗。

关键词: 异种胰岛移植, 肾移植, 糖尿病, 护理

Abstract:

To summarize the nursing experience of a patient with diabetic nephropathy who underwent xenogeneic islet transplantation after kidney transplantation. The key points of nursing mainly include：establishing a multidisciplinary diagnosis and treatment team before surgery，improving relevant examinations and preparations，and ensuring the safety of surgery；postoperative dynamic anticoagulant therapy and bleeding observation and nursing to prevent rejection and infection. The goal-oriented blood glucose management was implemented in the whole process，and systematic health education and personalized psychological nursing were carried out.After careful specialized nursing，the patient recovered on the 26th day of hospitalization and was discharged from hospital. Up to now，the patient has completely separated from exogenous insulin treatment.

Key words: Xenogeneic Islet Transplantation, Kidney Transplantation, Diabetes Mellitus, Nursing Care

刘晶晶, 刘立芳, 谢建飞, 刘佳, 吴小霞. 1例糖尿病肾病肾移植术后患者行异种胰岛移植的护理[J]. 中华护理杂志, 2023, 58(18): 2203-2206.

LIU Jingjing, LIU Lifang, XIE Jianfei, LIU Jia, WU Xiaoxia. Nursing care of a patient with diabetic nephropathy undergoing xenogeneic islet transplantation after kidney transplantation[J]. Chinese Journal of Nursing, 2023, 58(18): 2203-2206.

参考文献 15

[1]	王维. 异种胰岛移植研究现状和走向临床的关键科学问题[J]. 器官移植, 2017, 8(6):413-416.
	Wang W. Research status of xenogeneic islet transplantation and key scientific issues for clinical application[J]. Organ Transplant, 2017, 8(6):413-416.
[2]	王唯予, 庄国洪, 夏俊杰, 等. 肾脏-胰岛联合移植研究进展[J]. 实用器官移植电子杂志, 2018, 6(2):152-158.
	Wang WY, Zhuang GH, Xia JJ, et al. Research progress of combined kidney islet transplantation[J]. Pract J Organ Trans-plant(electronic version), 2018, 6(2):152-158.
[3]	刘婷婷, 陈旭春, 牛猛, 等. 肾移植后胰岛移植治疗2型糖尿病1例[J]. 实用器官移植电子杂志, 2022, 10(5):395-400.
	Liu TT, Chen XC, Niu M, et al. One case of type 2 diabetes mellitus was treated with islet transplantation after kidney transplantation[J]. Pract J Organ Transplant(electronic version), 2022, 10(5):395-400.
[4]	Cheng Y, Wang B, Li H, et al. Mechanism for the instant blood-mediated inflammatory reaction in rat islet transplantation[J]. Transplant Proc, 2017, 49(6):1440-1443. DOI URL
[5]	马玉芬, 徐园, 王晓杰, 等. 普通外科患者静脉血栓栓塞症风险评估与预防护理专家共识[J]. 中华护理杂志, 2022, 57(4):444-449. DOI URL
	Ma YF, Xu Y, Wang XJ, et al. Expert consensus on risk assessment and preventive nursing of venous thromboembolism in general surgical patients[J]. Chin J Nurs, 2022, 57(4):444-449.
[6]	程颖, 王树森. 胰岛移植临床技术操作规范(2019版)[J]. 器官移植, 2019, 10(6):621-627.
	Cheng Y, Wang SS. Clinical technical operation specifications for islet transplantation(2019 edition)[J]. Organ Transplant, 2019, 10(6):621-627.
[7]	翁静艳, 张建中, 许根英. 便携式输注泵输注不同剂型5-氟尿嘧啶临床应用时间差异分析[J]. 中国临床医学, 2021, 28(3):428-432.
	Weng JY, Zhang JZ, Xu GY. Analysis of clinical application time difference of different dosage forms of 5-fluorouracil by portable infusion pump[J]. Chin J Clin Med, 2021, 28(3):428-432.
[8]	Brennan DC, Kopetskie HA, Sayre PH, et al. Long-term follow-up of the edmonton protocol of islet transplantation in the United States[J]. Am J Transplant, 2016, 16(2):509-517. DOI PMID
[9]	陈亮. Treg细胞外泌体诱导移植肝免疫耐受的机制研究[D]. 昆明: 昆明医科大学, 2020.
	Chen L. Study on the mechanism of immune tolerance induced by Treg extracellular secretions in transplanted liver[D]. Kunming: Kunming Medical University, 2020.
[10]	Riegel C, Boeld TJ, Doser K, et al. Efficient treatment of murine acute GvHD by in vitro expanded donor regulatory T cells[J]. Leukemia, 2020, 34(3):895-908. DOI PMID
[11]	Fensom B, Harris C, Thompson SE, et al. Islet cell transplantation improves nerve conduction velocity in type 1 diabetes compared with intensive medical therapy over six years[J]. Diabetes Res Clin Pract, 2016, 122:101-105. DOI URL
[12]	季梅, 王正霞, 沙仕贤. 手掌法则在2型糖尿病患者饮食治疗中的作用[J]. 实用临床医药杂志, 2018, 22(2):39-41.
	Ji M, Wang ZX, Sha SX. The role of palm rule in diet treatment of patients with type 2 diabetes[J]. J Clin Med Pract, 2018, 22(2):39-41.
[13]	罗宝瑜, 苏恒. 固定餐盘法在糖尿病饮食治疗中的应用研究[J]. 护士进修杂志, 2019, 34(12):1071-1074.
	Luo BY, Su H. Study on the application of fixed plate method in diet treatment of diabetes[J]. J Nurses Train, 2019, 34(12):1071-1074.
[14]	徐湘. 病人版临床路径融合多样化健康教育方法在临床路径管理中的应用[J]. 护理研究, 2019, 33(11):1942-1946.
	Xu X. Application of patient version clinical pathway integration and diversified health education methods in clinical pathway management[J]. Chin Nurs Res, 2019, 33(11):1942-1946.
[15]	常青, 谢雅婷, 王欢, 等. 放松训练联合意象引导音频对淋巴瘤化疗患者影响的研究[J]. 中华护理杂志, 2022, 57(15):1804-1810. DOI URL
	Chang Q, Xie YT, Wang H, et al. Study on the effect of relaxation training combined with image guidedaudio on lymphoma patients undergoing chemotherapy[J]. Chin J Nurs, 2022, 57(15):1804-1810.

1例糖尿病肾病肾移植术后患者行异种胰岛移植的护理

Nursing care of a patient with diabetic nephropathy undergoing xenogeneic islet transplantation after kidney transplantation

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 15

相关文章 15

编辑推荐

Metrics

[1]	顾婕, 马倩云, 高旭, 李惠珍, 孟晓红, 谢双怡, 樊帆, 周意, 曹洁. 前列腺癌术后尿失禁患者康复护理方案的构建及应用[J]. 中华护理杂志, 2023, 58(9): 1029-1036.
[2]	薛瑾, 王清, 蒋玲, 程念开, 黄琴, 倪兴梅, 顾肖, 陈怡雷, 夏莲子. ICU患者谵妄管理临床决策支持系统的构建与应用研究[J]. 中华护理杂志, 2023, 58(9): 1037-1042.
[3]	方园, 周英凤, 李丽, 邢年路, 陈姝宇, 王娜, 阴传敏. 妊娠期糖尿病非药物管理决策支持系统的构建及应用[J]. 中华护理杂志, 2023, 58(9): 1043-1049.
[4]	夏艳玲, 潘文彦, 赵洋洋, 陈志炜, 蔡诗凝, 唐颖嘉, 金喆. 虚拟现实技术在ICU患者早期活动中的应用研究[J]. 中华护理杂志, 2023, 58(9): 1050-1055.
[5]	雒晓燕, 崔仁善, 许秀梅, 崔苗苗, 郭玲茹, 周丹. 基于“互联网+”的护理干预对癌症患者疼痛影响的Meta分析[J]. 中华护理杂志, 2023, 58(9): 1056-1062.
[6]	徐雪芬, 王红燕, 郭萍萍, 王宇璐, 冯素文. 人工智能在慢性病患者健康管理中的应用进展[J]. 中华护理杂志, 2023, 58(9): 1063-1067.
[7]	刘洋, 黄浠婷, 蒋智丽, 王智乾, 陶国芳, 邢美园, 黄丽华. 基于说服系统构建慢性病患者自我管理信息系统的范围综述[J]. 中华护理杂志, 2023, 58(9): 1068-1075.
[8]	倪秀梅, 徐凤玲, 陈浩, 宫娟, 章翀, 王翠, 李宝芹, 胡少华. 基于肺部超声的气道廓清方案在ICU机械通气患者中的应用[J]. 中华护理杂志, 2023, 58(9): 1076-1081.
[9]	相爽, 王宾, 苗华, 韩荆, 姜京京, 郑文, 严研, 王晓, 公威, 艾辉, 阙斌, 聂绍平, 张立新. 急性冠脉综合征住院患者跌倒风险评估及影响因素分析[J]. 中华护理杂志, 2023, 58(9): 1082-1087.
[10]	黄珂瑶, 丁思妍, 周海琴, 蔡英华. 肺移植患者衰弱变化轨迹及影响因素研究[J]. 中华护理杂志, 2023, 58(9): 1088-1095.
[11]	黄浩, 焦雨晨, 嵇艳. 三级综合医院急诊科护士置信职业行为指标的构建与验证[J]. 中华护理杂志, 2023, 58(9): 1096-1103.
[12]	陈芳, 江智霞, 杨明静, 罗倩, 张霞. 贵州省ICU护理人员对机械通气患者口渴认知及干预行为的调查研究[J]. 中华护理杂志, 2023, 58(9): 1104-1111.
[13]	张琦, 陈丽艳, 李媛媛, 张爱华, 杨丽娟. 非创伤性下肢截肢患者生活体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1112-1119.
[14]	王利秀, 李建芳, 程红霞, 罗彦, 杨冰香, 刘茜. 造血干细胞移植并发移植物抗宿主病患者皮肤护理的最佳证据总结[J]. 中华护理杂志, 2023, 58(9): 1120-1126.
[15]	张若林, 楼妍, 吴婉英, 王春兰, 傅丽英, 周瑶, 洪美容, 徐毓露, 冯欣悦. 癌症患者照顾者角色过渡体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1127-1134.