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王永钧教授诊治药物性肾损伤的临床经验
引用本文:俞东容,李亚妤,袁博寒.王永钧教授诊治药物性肾损伤的临床经验[J].浙江中医药大学学报,2014(2):144-146,152.
作者姓名:俞东容  李亚妤  袁博寒
作者单位:浙江中医药大学附属广兴医院王永钧名中医传承工作室,杭州310007
基金项目:浙江省自然基金资助项目(Y2081014);浙江省中医管理局项目(2007GA028)
摘    要:目的]进一步挖掘和整理王永钧教授在药物性肾损伤方面的临床经验。方法]以王永钧教授在诊治庆大霉素肾病、马兜铃酸肾病(AAN)的临床经验为例总结王教授在药物性肾损伤的防治经验和用药原则。结果]药物性肾损伤有一定的临床特点,除及时停药外,王教授对庆大霉素肾病采用黄芪川芎嗪为主,对慢性AAN以益气养阴、补肾活血中药治疗,取得了一定疗效。结论]药物性肾损伤重在预防,遵循“安全、有效、可控”的用药原则是预防药物性肾损伤发生的主要方法。

关 键 词:药物性肾损伤  庆大霉素肾病  王永钧  名老中医经验

Pro. Wang Yongjun’s Clinical Experience in Diagnosing and Treating Drug-induced Renal Injury
Yu Dongrong,Li Yashu,Yuan Bohan.Pro. Wang Yongjun’s Clinical Experience in Diagnosing and Treating Drug-induced Renal Injury[J].Journal of Zhejiang University of Traditional Chinese Medicine,2014(2):144-146,152.
Authors:Yu Dongrong  Li Yashu  Yuan Bohan
Institution:(Guangxing Hospital Affiliated to Zbejiang Chinese Medical University, Wang Yongjun Famous TCM Doctor Inheritance Studio, Hangzhou(310007)
Abstract:Objective] This article is to further sort and excavate the clinical experience of Professor Wang Yongjun on drug-induced renal injury. Methods] Professor Wang’s experience of prevention and control, and the principle of medication for drug-induced renal injury were summarized, in the light of examples of diagnosis and treatment of gentamicin nephropathy and aristolochic acid nephropathy(AAN).Results] Drug-induced renal injury has certain clinical characteristics. In addition to the timely drug withdrawal, Professor Wang mainly uses Astragalus membranaceus ligustrazine for gentamicin nephropathy, and treats the AAN with traditional Chinese medicine of tonifying qi, yin and kidney, invigorating the blood, obtaining effectiveness. Conclusions]Prevention is vital in drug-induced renal injury, and fol owing the "safe, effective and control able" principles of medication is the primary method to prevent drug-induced renal injury.
Keywords:AAN  drug-induced renal injury  Gentamicin nephropathy  Aristolochic acid nephropathy  Wang Yongjun  experience of famous expert of Chinese medicine
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