中医药治疗慢性肾脏病高钾血症的研究进展  

Research Progress of Traditional Chinese Medicine in Treatment of Hyperkalemia in Chronic Kidney Disease

作　　者：栾仲秋[1] 余毅洋 张睿[2] 刘光旭 LUAN Zhongqiu;YU Yiyang;ZHANG Rui;LIU Guangxu(First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China;Heilongjiang University of Traditional Chinese Medicine,Harbin 150006,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学,黑龙江哈尔滨150006

出　　处：《山东中医药大学学报》2024年第3期387-392,共6页Journal of Shandong University of Traditional Chinese Medicine

基　　金：黑龙江省自然科学基金项目(编号:LH2022H073);黑龙江省中医药科研项目(编号:ZHY18-001)。

摘　　要：近年来,中医药在改善慢性肾脏病(CKD)高钾血症患者病情中的作用逐渐受到重视,结合国内外中医药与CKD高钾血症的相关研究,梳理有关CKD高钾血症的中医药理论;结合CKD患者发生高钾血症的生理机制及现代中药药理学研究,探讨治疗CKD的常见中药影响钾离子代谢的机制,归纳CKD高钾血症患者具体可应用的和应避免的中药;提出CKD患者在出现高钾血症时能持续使用含钾量低且有延缓肾功能恶化的中药,为未来中医药在CKD高钾血症治疗方面的研究提供方向。参考文献54篇。In recent years,more and more attention has been paid to the role of traditional Chinese medicine(TCM)in improving the condition of patients with hyperkalemia of chronic kidney disease(CKD).Combined with the relevant studies at home and abroad on TCM and hyperkalemia of CKD,TCM theory about hyperkalemia of CKD was sorted out.Combined with the physiological mechanism of hyperkalemia in patients with CKD and the modern pharmacological research of TCM,this paper discussed the mechanism of common Chinese medicinals in the treatment of CKD influencing potassium metabolism,summarized the specific Chinese medicinals that might be applied and should be avoided in patients with hyperkalemia of CKD.It was proposed that patients with hyperkalemia of CKD could continue to use Chinese medicinals with low potassium content that slowed the deterioration of renal function,which provided a direction for the future research of TCM in the treatment of hyperkalemia of CKD.There were 54 references in total.

关 键 词：慢性肾脏病 高钾血症 钾离子 中药含钾量 药理作用 

分 类 号：R289.1[医药卫生—方剂学]