Impact of steroid-free immunosuppression on glycometabolism after liver transplantation
10.3760/cma.j.issn.0254-1785.2012.06.008
- VernacularTitle:肝移植术后应用不含皮质激素的免疫抑制方案对糖代谢的影响
- Author:
Lei XIA
;
Qiang XIA
;
Jianjun ZHANG
;
Qigen LI
;
Tiunyu XING
;
Jianjun ZHU
;
Feng XUE
;
Siyue WANG
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Immunosuppression;
Glucocorticoids;
Blood glucose
- From:
Chinese Journal of Organ Transplantation
2012;33(6):347-350
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the impact of a immunosuppressive protocol using tacrolimus combined with mycophenolate without steroid on glycometabolism after liver tansplantation (LT).Methods 295 adult liver transplant recipients were under investigation and divided into two groups,to receive immunosuppression therapy using tacrolimus and mycophenolate with (n =142) or without steroid (n =153).The fasting blood-glucose level,rate of hyperglycemia,infection and metabolic complications were followed up at 1st,2nd,4th,8th,12th,16th,20th and 24th week after LT.Results There were no significant differences between two groups in gender,age.body weight and FBG level before LT.In both groups,the FBG levels were significantly elevated immediately and reached the peak at 1st week after LT,then gradually decreased over time post-LT.The FBG level and rate of hypcrglycemia were significantly lower in steroid-free group than in steroid group in each observation time point with the differences being significant (P＜0.05) at 4th week post-LT.The overall rate of hyperglycemia was 52.9％ in steroid free group and 76.8％ in steroid group with the difference being significant between the two groups (P＜0.05) and a risk ratio of 2.94 (steroid-free group versus steroid group).The rate of acute rejection was slightly higher in steroid-free group (8.50 ％ ) than in steroid group (7.75％ ) (P ＞ 0.05 ).Also the incidence of intention badness,infection and hypercholesterinemia was significantly lower in steroid group than in steroid-free group.Conclusion The immunosuppressive protocol without steroids is safe and effective of reducing the risk of hyperglycemia and metabolic complications after LT.
