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中药治疗肾性贫血的研究概述
引用本文:占永标,沈万生,周红. 中药治疗肾性贫血的研究概述[J]. 中国现代医生, 2022, 60(1): 148-152
作者姓名:占永标  沈万生  周红
作者单位:浙江萧山医院风湿免疫肾病科,浙江杭州311202
基金项目:浙江省中医药科技计划(2020ZB210)。
摘    要:肾性贫血是慢性肾脏病(CKD)患者的常见并发症,主要与促红细胞生成素(EPO)分泌不足、铁代谢紊乱、氧化应激和微炎症状等相关,目前主要采用补充外源性促红细胞生成素和铁剂的治疗方案,临床存在血红蛋白达标率低、患者依从性差的问题,且药物所致心血管事件、感染等并发症多.祖国医学认为该病本虚标实,虚实夹杂,阻碍新血生成,补肾健...

关 键 词:慢性肾脏病  肾性贫血  中药  病机
收稿时间:2021-01-18

Summary of research on traditional Chinese medicine in the treatment of renal anemia
ZHAN Yongbiao,SHEN Wan sheng,ZHOU Hong. Summary of research on traditional Chinese medicine in the treatment of renal anemia[J]. Journal China Modern Doctor, 2022, 60(1): 148-152
Authors:ZHAN Yongbiao  SHEN Wan sheng  ZHOU Hong
Affiliation:Department of Rheumatology, Immunology and Nephrology, Zhejiang Xiaoshan Hospital, Hangzhou 311202, China
Abstract:Renal anemia is a common complication of chronic kidney disease (CKD)patients. It is mainly related to in-sufficient secretion of erythropoietin(EPO), iron metabolism disorder, oxidative stress, and mild inflammation symptoms.Exogenous erythropoietin and iron supplement are the main currently the main treatment plan. There are clinical prob-lems of low hemoglobin compliance rate and poor patient compliance. And there are many complications such as car-diovascular events and infections caused by drugs. Traditional Chinese medicine believes that the disease has a defi-ciency in its origin and an excess in its original form, which is a mixture of deficiency and excess, which hinders the production of new blood. Invigorating the kidney, strengthening the spleen, and reducing turbidity is the main method of Chinese medicine to treat renal anemia. Modern research shows that traditional Chinese medicine promotes hemoglobin synthesis and corrects anemia by traditional Chinese medicine promoting the release of endogenous erythropoietin, co-operating with exogenous erythropoietin supplementation to improve effcacy, reducing oxidative stress and micro-in-flammation, improving nutritional status. And Traditional Chinese medicine is a treatment for blood enrichment without blood stagnation, with few side effects and relatively low price. It has broad application prospects and is worthy of fur-ther clinical exploration and promotion.
Keywords:Chronic kidney disease   Renal anemia   Traditional Chinese medicine   Pathogenesis
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