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題 名 | Prognostic Importance of Incipient Post-Transplantation Proteinuria=腎移植後初期蛋白尿之重要預後意義 |
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作 者 | 洪錦傳; 洪士元; 方華章; 鍾孝民; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 15:2 2001.06[民90.06] |
頁 次 | 頁62-65+90 |
分類號 | 416.273 |
關鍵詞 | 蛋白尿; 腎臟移植; Proteinuria; Renal transplantation; |
語 文 | 英文(English) |
中文摘要 | 許多文獻指出對於腎臟移植後的病人,出現持續且多量的蛋白尿(指分泌量大於每天1g),具有較差之預後。然而,目前為止很少報告探討腎臟移植後早期及少量之尿蛋白對病人之預後意義。我們回溯地研究26位接受腎臟移植動病人,接受移植手術時平均年齡為40.5±12.4歲。他們皆符合下面的條件:(1) 移植手術後的三個月內腎功能正常(肌酸酐,Creatinine, <1.5mg/dl);(2)術後至少一年的時間有經微蛋白尿(指每天尿蛋白量小於1 gm); (3)接受規則性追蹤至少三年。根據腎臟移植後一年內,每天尿蛋白量的平均值,把病人分成兩組:一組為每日尿蛋白量小於200 mg者,稱為無尿蛋白組(Proteinurin-abscent group, PA),共12人;另一組為每日尿蛋白量介於200mg至1gm,稱為徵量尿蛋白組(Proteinuria-mild group, PM), 共14人。 兩組病人經過比較後發現:術後第一年血中肌酸酐平均值沒有明顯差別。然而在術後30、36個月,微量尿蛋白組(PM group)病人都有明顯較高的肌酸酐值(p<0.05)。用Spearman等級相關測試也發現,這26位病人術後一年內平均每日尿蛋白量和他們在術後30以及36個月的血中肌酸酐值有正相關。這顯示,即使是腎臟移植後初期的蛋白尿,對於移植腎的長期功能具有預後意義。 |
英文摘要 | Persistent and heavy proteinuria; more than lg per day, developing in the post-transplantation period has been demonstrated to be a poor predictor for allografts. However, there is still little known about the significance of early and mild post-transplantation proteinuria. In our present study, we retrospectively reviewed 26 consecutive adult recipients, 10 men, with a mean age of 40.5±12.4 years at the time of transplantation. They all met the following criteria: (1) normal renal function, creatinine (Cr)<1.5mg/dl, more than 3 months after transplantation, (2) mild protein loss (DPL)<1.0g, persistent for up to 1 after transplantation, and (3) received regular follow-up for up to 3 years. According to the mean values of DPL within 1 year (1year-DPL), the patients were divided into proteinuria –absent group (PA, n=12)with a PDL less than 200mg, and proteinuria-mild group (PM, n=14) with a DPL more or equal to 200 mg but less than 1 g. The demographic features were well matched between both groups. The mean serum Cr levels showed no significant differences between the two groups within the first 24 months after transplantation. However, the differences became significant (p<0.5)at 30 and 36 months after transplantation with higher Cr levels in the PM group. The Spearman rank correlation test also showed that 1year-DPL of the 26 patients positively correlated with Cr levels at 30 and 36 months after transplantation. In conclusion, we found that even mild incipient post-transplantation pro-teinuria could predict the long-term allograft function. |
本系統中英文摘要資訊取自各篇刊載內容。