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糖尿病肾病的防治策略——三级预防一体化治疗

郝传明 张敏

中国实用内科杂志2017,Vol.37Issue(3):195-198,4.
中国实用内科杂志2017,Vol.37Issue(3):195-198,4.DOI:10.19538/j.nk2017030104

糖尿病肾病的防治策略——三级预防一体化治疗

Prevention and control strategy of diabetic nephropathy

郝传明 1张敏1

作者信息

  • 1. 复旦大学附属华山医院肾脏科,上海200433
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摘要

Abstract

Diabetic kidney disease is one of the most common complications of diabetes and is the primary cause of end stage renal disease.In our opinion" Three-stage prevention and integrative therapy" is the current strategy to manage diabetic kidney disease.The first-stage prevention for diabetic patients is to prevent the occurrence of microalbuminuria.The second-stage prevention is the early treatment of microalbuminuria,to reduce or delay the occurrence of clinical albuminuria.The third-stage prevention is to prevent the progress of CKD for those diabetic patients with clinical albuminuria with or without renal impairment "Integrative therapy" includes the control of hyperglycemia,dyslipidemia,and blood pressure and the wide-spread use of renin-angiotensin-aldosterone system inhibitors,lifestyle intervention,treatment of CKD complications,dialysis treatment etc.

关键词

糖尿病肾病/终末期肾脏疾病/慢性肾脏病

Key words

diabetic kidney disease/end-stage renal disease/chronic kidney disease

分类

医药卫生

引用本文复制引用

郝传明,张敏..糖尿病肾病的防治策略——三级预防一体化治疗[J].中国实用内科杂志,2017,37(3):195-198,4.

中国实用内科杂志

OACSCDCSTPCD

1005-2194

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