[Effect of nutritional support on immune function in patients with severe pulmonary infection after renal transplantation].
OBJECTIVE
To study the effect of parenteral plus enteral nutrition (PN+EN) and total parenteral nutrition (TPN) support on the postoperative immune function in renal recipients with severe pulmonary infection.


METHODS
Twenty renal recipients with severe postoperative pulmonary infection were randomly assigned into two equal groups to receive PN+EN or standard TPN, both supplied with equal nitrogen and calorie. The plasma levels of total protein, albumin, hemoglobin and peripheral blood IgA, IgG, IgM, total lymphocyte count, and CD4/CD8 ratio were measured before and after the treatment.


RESULTS
The total lymphocyte count, CD4/CD8 ratio and IgG were significantly increased in patients receiving PN+EN as compared with those in TPN group (P<0.05). In both of the groups, the total protein and albumin levels underwent no significant changes after the nutritional support (P>0.05).


CONCLUSIONS
PN+EN can better improve the immune function than TPN in renal recipients with severe pulmonary infection.
Cheng
Xue-Tao
XT
Kidney Transplantation Center, General Hospital of Ningxia Armed Police of PLA, Yinchuan, China. cxt_ny@163.com
Li
Sheng-Ling
SL
Liu
Guo-Lian
GL
Yang
Xiao-Ming
XM
Lu
Jun
J
D000328:Adult; D016516:CD4-CD8 Ratio; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007136:Immunoglobulins / Q000097:blood*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D011014:Pneumonia / Q000276:immunology* / Q000628:therapy*; D011183:Postoperative Complications / Q000276:immunology / Q000628:therapy
D007136:Immunoglobulins