Nutritional support for lung transplant over the perioperative period
10.3760/cma.j.issn.1674-635X.2018.01.004
- VernacularTitle:营养支持疗法在肺移植患者围手术期的应用
- Author:
Tong QIAO
1
;
Weixiang WANG
;
Peiyu GAO
;
Jingyu CHEN
;
Li WEI
Author Information
1. 河南省人民医院(郑州大学人民医院)胸部肿瘤诊疗中心
- Keywords:
Lung transplant;
Nutritional support;
Prognosis;
Subjective global assessment
- From:
Chinese Journal of Clinical Nutrition
2018;26(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of perioperative nutritional support on the prognosis of lung transplant.Methods Retrospective analysis was carried out on nutritional support for 6 lung transplant recipients in the Department of Thoracic Surgery in Henan Provincial People's Hospital between September 2015 and September 2016.The recipients were all males,with ages ranging from 28 to 60 (40± 12.1).The recipients' body mass index (BMI),serum albumin and pulmonary function at the first test after admission (t1),the last test before surgery (t2) and the last test after surgery (t3) were compared.The recipients' nutritional status was assessed with subjective global assessment.Results The 6 patients had successful single-lung transplant,without mortality or severe complications.At t3,all of them had increases in BMI by (2.4±1.4) kg/m2,weight by (3.2±1.2) kg,deltoid skin-fold thickness by (3.0±0.35) mm,prealbumin by (30±10.4) g/L,total protein (15.2±6.4) g/L,albumin by (6.4±4.1) g/L,triglyceride by (0.2± 1.4) mmoL/L,and total cholesterol by (1.4± 0.9) mmol/L (P＜0.01).The patients were followed up for 6 to 12 months.SGA results suggested no abnormality in their nutrition,and the patients were well able to function independently.Conclusion Nutritional support is vital for patients with severe malnutrition during the perioperative period of lung transplant,and can significantly improve the patient's quality of life.
