中国全科医学 ›› 2022, Vol. 25 ›› Issue (12): 1411-1417.DOI: 10.12114/j.issn.1007-9572.2021.02.117

所属专题: 内分泌代谢性疾病最新文章合集 中医最新文章合集 泌尿系统疾病最新文章合集 述评栏目最新文章合集

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糖尿病肾病中西医治疗进展

王莹1, 周静威1, 王珍1, 杨迎霞1, 王耀献2,*()   

  1. 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
  • 收稿日期:2021-11-05 修回日期:2021-11-25 出版日期:2021-12-09 发布日期:2022-03-21
  • 通讯作者: 王耀献
  • 王莹,周静威,王珍,等.糖尿病肾病中西医治疗进展[J].中国全科医学,2022,25(12):1411-1417. [www.chinagp.net]
    作者贡献:王莹提出研究选题方向;王莹、周静威负责论文整体构思与设计、文献检索及整理并撰写论文初稿;王珍、杨迎霞对初稿进行修订;王耀献负责论文的质量控制及审校,对论文整体负责;所有作者确认了论文的最终稿。
  • 基金资助:
    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)

Recent Advances in Chinese and Western Medicine Treatments for Diabetic Kidney Disease

Ying WANG1, Jingwei ZHOU1, Zhen WANG1, Yingxia YANG1, Yaoxian WANG2,*()   

  1. 1Department of Nephrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
    2Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2021-11-05 Revised:2021-11-25 Published:2021-12-09 Online:2022-03-21
  • Contact: Yaoxian WANG
  • About author:
    WANG Y, ZHOU J W, WANG Z, et al. Recent advances in Chinese and Western medicine treatments for diabetic kidney disease [J] . Chinese General Practice, 2022, 25 (12) : 1411-1417.

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

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.

Key words: Diabetic nephropathies, Antihyperglycemic drugs, TCM treatment