中国实用内科杂志

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老年慢性肾脏病临床评估与管理

岳荣铮付平   

  1. 作者单位:四川大学华西医院肾脏内科,成都 610041
  • 出版日期:2014-12-01 发布日期:2014-12-19
  • 通讯作者: 付平
  • 作者简介:付平,主任医师、教授、博士生导师。四川大学华西医院大内科副主任、华西生物统计及成本效益研究中心常务副主任。兼任中华医学会肾脏病学分会常务委员、中华医学会老年医学分会老年肾脏病学组副组长、中国医院协会肾脏病学分会常务委员等职。《中华医学杂志英文版》等18种杂志编委、常务编委和副主编。参与国家863,973计划,科技部国家重大研究计划,并担任国家自然科学基金等10余项课题负责人。先后在国内外刊物上发表论文300余篇。获国家发明专利及实用新技术专利7项;获中华医学会科技进步二等奖及四川省科技进步一等奖各1项。

Clinical evaluation and management of chronic kidney disease in the elderly

YUE Rong-zhengFU Ping.   

  1. Division of Nephrology,West China Hospital of Sichuan University,Chengdu 610041,China
  • Online:2014-12-01 Published:2014-12-19

摘要:

规范合理的评估及管理模式对延缓老年慢性肾脏病(CKD)进展、改善患者生存质量具有重要意义。由于老年CKD患者本身的特殊性,目前临床上在对老年人肾功能的准确定义、分期、评价系统及并发症和合并症的防治方面均存在某些尚需解决或研究探讨的问题。文章从最新指南到临床实践看老年CKD的诊断、预后评估及常见并发症的管理,旨在一定程度上减少老年CKD的过度诊断,同时更好地预测老年CKD患者进展至终末期肾脏疾病(ESRD)或合并其他疾病的风险,以便对其尽早实施必要的临床干预措施。

关键词: 慢性肾脏病, 老年人, 糖尿病肾脏疾病

Abstract:

Abstract:A suitable evaluation and management structure is important for slowing and delaying the progression of chronic kidney disease (CKD) and improving the quality of life in the elderly patients.Due to the special features of the elderly CKD patients,there also exist some problems to be solved or researched on currently.According to the latest guideline for clinical practice,we discuss some aspects in diagnosis and prognosis of the elderly CKD patients as well as management of common complications,so as to reduce over-diagnosis,and better predict the risks of progression to end stage renal failure and take necessary measures for clinical intervention as soon as possible.

Key words: chronic kidney disease, aged patient, diabetic kidney disease

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