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中华肾病研究电子杂志 ›› 2013, Vol. 02 ›› Issue (05) : 242 -245. doi: 10.3877/cma.j.issn.2095-3216.2013.05.006

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肾性贫血的诊断和中西医结合治疗
汪年松1,(), 刘玉梅1   
  1. 1.200233 上海交通大学附属第六人民医院肾内科
  • 出版日期:2013-10-15
  • 通信作者: 汪年松

Diagnosis and treatment of renal anemia with integrative traditional Chinese and western medicine

Nian-song WANG1,(), Yu-mei LIU1   

  1. 1.Department of Nephrology, Sixth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China
  • Published:2013-10-15
  • Corresponding author: Nian-song WANG
引用本文:

汪年松, 刘玉梅. 肾性贫血的诊断和中西医结合治疗[J/OL]. 中华肾病研究电子杂志, 2013, 02(05): 242-245.

Nian-song WANG, Yu-mei LIU. Diagnosis and treatment of renal anemia with integrative traditional Chinese and western medicine[J/OL]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2013, 02(05): 242-245.

慢性肾脏病患者的数量日益庞大,肾性贫血的现状令人担忧。 我国慢性肾脏病患者贫血的知晓率和治疗率均较低,使其尽早诊断、及时接受抗贫血治疗、纠正其贫血状态,是肾脏科医生面临的较严峻的问题。 肾性贫血可加重多系统器官的损伤,是慢性肾脏病患者合并心血管并发症的独立危险因素。 针对贫血发生的病理生理机制,目前采取的治疗措施包括铁剂、促红细胞生成素(EPO)、输血及中西医结合治疗。 慢性肾脏病患者生存质量指南(K/DOQI)和改善全球肾脏病预后(KDIGO) 指南规范了铁剂、EPO、输血等治疗肾性贫血的适应证、治疗靶目标及药物安全性等问题。肾性贫血的中西医结合治疗侧重于补肾健脾、益气养血类药物联合EPO 的应用,进行整体观治疗。

The number of patients with chronic kidney disease (CKD) is increasing, while the control of renal anemia is worrisome. As the rates of awareness and treatment of anemia in CKD patients are low, it's a severe problem faced by nephrologists to make diagnosis and give anti-anemia treatment as early as possible in order to correct the anemia status of CKD patients. Renal anemia may aggravate damage to multi-system organs, and is an independent risk factor of cardiovascular complications in CKD patients.Current therapeutic measures include iron,erythropoietin (EPO),blood transfusion,and integrative Chinese and western medicine. K/DOQI (Kidney Disease Outcome Quality Initiative) and KDIGO (Kidney Disease:Improving Global Outcomes) guidelines have standardized the indications of renal anemia treatment,therapeutic targets, drugs safety and other issues by iron supplements, EPO, and blood transfusion. The treatment of renal anemia with integrative medicine is focused on drugs for Bu Shen Jian Pi and supplementing Qi and blood combining EPO, which is carried out from the holistic point of view.

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