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慢性肾脏病并发症治疗现状及思考 被引量:46

Complications of chronic kidney disease:current management and challenge
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摘要 慢性肾脏病(CKD)已经成为影响公众健康的重要疾病。无论接受替代治疗与否,各种并发症如控制不当都将导致CKD患者预后不良和过早死亡,其中心脑血管并发症是最重要原因。CKD并发症的发生时间可能较预想的要早。应重视对其早期发现、积极干预、定期监测并及时调整治疗方案。基于循证医学研究制定的临床指南对于指导CKD并发症的治疗具有重要意义,同时也应注意个体化治疗,以提高患者存活率、改善生活质量,使之更好地回归社会。 Chronic kidney disease (CKD)is increasingly recognized as a global public health problem. Uncontrolled complications of CKD, especially cardiovascular diseases, contribute greatly to the premature death and unfavorable prognosis. Recent evidence shows that CKD complications may occur earlier than previously thought. CKD complications deserve early detection and active treatment. Periodical follow-up and regular check should be done to adjust the therapeutic condition. Clinical practice guideline or recommendation based on evidence-based medicine is essential for management of CKD complications. Personalized treatment should be considered to improve survival and quality of life,and to make patient return to society.
出处 《中国实用内科杂志》 CAS CSCD 北大核心 2010年第2期102-103,共2页 Chinese Journal of Practical Internal Medicine
关键词 慢性肾脏病 并发症 临床指南 chronic kidney disease complications clinical practice guideline
作者简介 陈香美,教授、主任医师、博士生导师、中国工程院院士,现任解放军总医院肾内科主任,解放军肾脏病研究所所长暨重点实验室主任、中华医学会肾脏病学分会主任委员、《中华肾脏病杂志》总编辑、中国中西医结合学会常务副会长。两次担任"973"项目首席科学家、国家自然科学基金"创新研究群体"学术带头人。发表SCI论文60余篇。主编专著5部。获国家科技进步二等奖3项、省部级一等奖5项,获何梁何利科学与技术进步奖。通讯作者:陈香美,电子信箱:xmchen301@126.com
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