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出 处:《中医临床研究》2018年第5期146-148,共3页Clinical Journal Of Chinese Medicine
摘 要:糖尿病肾病(DN)是糖尿病最为严重的微血管并发症之一,DN最主要的临床表现是蛋白尿的出现,而蛋白尿既是糖尿病肾脏损伤的敏感指标,也是预测临床期肾病、肾衰的一个重要指标,目前西医单纯从降糖、降压、降脂方面治疗是无法从根本上防治DN发生、发展的。而传统中医药在减少蛋白尿、延缓DN进展等方面有独特优势,本文从DN蛋白尿的病因病机、辨证施治、中医药治疗等方面概述近年来DN蛋白尿的诊治思路及研究情况。Diabetic nephropathy is one of the most serious microvascular complication of diabetes.The main clinical manifestation of DN is the appearance of proteinuria,which is not only a sensitive indicator of diabetic kidney injury but also a prediction of clinical nephropathy and renal failure.The current western medicine from the perspectives of hypoglycemic,antihypertensive,lipid-lowering is unable to fundamentally prevent from the occurrence and development of DN.TCM showed unique advantages in the reduction of proteinuria,delay the progress of DN.In this article,from the aspects of etiology and pathogenesis,syndrome differentiation and treatment,TCM treatment and so on,diagnosis and treatment ideas and research situation of diabetic nephropathy proteinuria in recent years were given.
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