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糖尿病肾病中西医治疗进展
引用本文:王莹,周静威,王珍,杨迎霞,王耀献. 糖尿病肾病中西医治疗进展[J]. 中国全科医学, 2022, 25(12): 1411-1417. DOI: 10.12114/j.issn.1007-9572.2021.02.117
作者姓名:王莹  周静威  王珍  杨迎霞  王耀献
作者单位:1100700 北京市,北京中医药大学东直门医院肾内科2100029 北京市,北京中医药大学
基金项目:北京中医药大学新奥奖励基金(1000062720104);国家自然科学基金青年基金资助项目(81804032);国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄学者-国家中医药领军人才支持计划)(国中医药人教发【2018】12号)。
摘    要:糖尿病肾病(DKD)是我国慢性肾脏病的主要原因之一,给社会公共卫生和患者的生存质量造成了巨大的影响。最近颁布的多项指南更新了有关DKD治疗与管理的建议,新型降糖药物为DKD的防治提供了新的选择。中医药干预DKD历史悠久,相关理论不断发展和完善。随着循证医学在中医药研究中的应用和增加,中医药干预DKD在缓解患者乏力、水肿、腰酸等症状,减少尿蛋白水平和保护肾功能,提高治疗有效率,降低终末期肾脏病的发生风险,改善疾病长期预后等方面的疗效逐渐被认可和重视。本文就近年来中西医有关DKD的治疗进展和优势进行总结及分析。

关 键 词:糖尿病肾病  降糖药物  中医治疗  
收稿时间:2021-11-05

Recent Advances in Chinese and Western Medicine Treatments for Diabetic Kidney Disease
WANG Ying,ZHOU Jingwei,WANG Zhen,YANG Yingxia,WANG Yaoxian. Recent Advances in Chinese and Western Medicine Treatments for Diabetic Kidney Disease[J]. Chinese General Practice, 2022, 25(12): 1411-1417. DOI: 10.12114/j.issn.1007-9572.2021.02.117
Authors:WANG Ying  ZHOU Jingwei  WANG Zhen  YANG Yingxia  WANG Yaoxian
Affiliation:1Department of Nephrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China2Beijing University of Chinese Medicine, Beijing 100029, China
Abstract:Diabetic kidney disease(DKD)is a leading cause of chronic kidney disease in China,which greatly negatively impacts public health and patients'quality of life.Recently,multiple guidelines have updated their recommendations to optimize the treatment and management of individuals with DKD.New antihyperglycemic drugs offer new options for DKD.Traditional Chinese medicine(TCM)has a long history in treating DKD,and relevant theories have been continuously enriched and developed.Along with the increasing application of evidence-based medicine in TCM research,the benefits of TCM treatments in DKD have been gradually recognized and valued,such as relieving fatigue,edema,backache and other symptoms,lowering protein in the urine,protecting kidney function,enhancing treatment efficiency,reducing the risk of end-stage renal disease,and improving the long-term prognosis.This article gave a summary and strengths analysis of the latest advances in TCM and Western medicine treatments for DKD.
Keywords:Diabetic nephropathies  Antihyperglycemic drugs  TCM treatment
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