基于病例学习的早期糖尿病肾病的个体化治疗及综合管理  

Case-based learning： individualized treatment and comprehensive management for early diabetic kidney disease

作　　者：孔玉侠[1] 郑嘉堂 董爱梅[2] Kong Yuxia, Zheng Jiatang, Dong Aimei(1.Department of General Practice, Peking University First Hospital, Beijing 100034, China ;2.Department of Endocrinology, Peking University First Hospital, Belting 100034, China)

机构地区：[1]北京大学第一医院全科医学科,100034 [2]北京大学第一医院内分泌科,100034

出　　处：《中华全科医师杂志》2018年第4期332-335,共4页Chinese Journal of General Practitioners

摘　　要：糖尿病肾脏病（DKD）是糖尿病常见的微血管并发症。全科医生应具备识别早期DKD的能力，并给予个体化、系统规范的诊治。基于病例的学习是全科医生成长的重要途径。本文以1例常见的糖尿病并发肾脏损害病例为基础，结合指南及共识进行综合分析，以期提高全科医生诊疗能力，促进DKD的早期知晓、及时治疗和有效控制。Diabetic kidney disease （DKD） is a common microvasscular complication in diabetic patients. It is necessary for general practitioner to recognize the early DKD, and give individualized treatment and comprehensive management. This article presents a patient with diabetic kidney disease, to whom individualized treatment and comprehensive management were given. Hopefully the case-based learning would help general practitioners to early recognize DKD and to give timely treatment and effective control of diabetic nephropathy.

关 键 词：糖尿病 2型 糖尿病肾病 全科医生 个体化医学 

分 类 号：R587.2[医药卫生—内分泌]