糖尿病合并慢性肾脏病诊疗的现状和进展  

Status Quo and Research Progress in Diagnosis and Treatment of Patients With Diabetes Mellitus and Chronic Kidney Disease

作　　者：戴飘钰 袁琼婧[1] 彭张哲[1] 谢艳云[1] 陶立坚[1] 黄玲[1] DAI Piaoyu;YUAN Qiongjing;PENG Zhangzhe;XIE Yanyun;TAO Lijian;HUANG Ling(Hunan Provincial Key Laboratory of Organ Fibrosis,Department of Nephrology,Xiangya Hospital,Central South University,Changsha 410000,China)

机构地区：[1]中南大学湘雅医院肾内科器官纤维化湖南省重点实验室,长沙410000

出　　处：《中国医学科学院学报》2023年第6期987-996,共10页Acta Academiae Medicinae Sinicae

基　　金：湖南省自然科学基金青年基金项目(2022JJ40790)。

摘　　要：目前全球糖尿病患病人数不断攀升,糖尿病相关的并发症如糖尿病肾脏病的患病率也随之增加,给个人、家庭、社会以及国家带来了沉重的经济负担。糖尿病合并慢性肾脏病(CKD)包括糖尿病肾脏病和其他原因引起的CKD,人们对CKD的认识率较低,对糖尿病合并CKD也缺乏合理的评估。糖尿病合并CKD的治疗主要是干预各种危险因素。临床诊断的糖尿病肾脏病可能并非由糖尿病所导致,一部分非糖尿病肾脏病也可能被误诊为糖尿病肾脏病,而没有得到正确的治疗。本综述旨在讨论糖尿病合并CKD患者在评估、诊断及治疗方面的现状和进展,并对未来研究的方向进行展望。As the incidence of diabetes mellitus is rapidly increasing worldwide,that of related complications,such as diabetic kidney disease(DKD),also increases,conferring a heavy economic burden on the patients,families,society,and government.Diabetes mellitus complicated with chronic kidney disease(CKD)includes DKD and the CKD caused by other reasons.Because of the insufficient knowledge about CKD,the assessment of diabetes mellitus complicated with CKD remains to be improved.The therapies for diabetes mellitus complicated with CKD focus on reducing the risk factors.In clinical practice,DKD may not be the CKD caused by diabetes.According to clinical criteria,some non-diabetic kidney disease may be misdiagnosed as DKD and not be treated accurately.This review summarizes the status quo and research progress in the assessment,diagnosis,and treatment of diabetes mellitus complicated with CKD and predicts the directions of future research in this field.

关 键 词：糖尿病合并慢性肾脏病 糖尿病肾脏病 现状 进展 

分 类 号：R587.2[医药卫生—内分泌]