慢性肾衰中医诊疗标准现状研究述评  

Review on the Status of TCM Diagnosis and Treatment Standards for Chronic Renal Failure

作　　者：纪利梅 李靖[3] 李雪[3] 刘宝利[4] JI Limei;LI Jing;LI Xue;LIU Baoli(Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China;Department of Nephrology,Shunyi Hospital,Beijing Hospital of Traditional Chinese Medicine,Beijing 101300,China;Department of Nephrology,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China;Department of Research,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医医院顺义医院肾病科,北京101300 [3]北京中医药大学东直门医院肾病科,北京100700 [4]首都医科大学附属北京中医医院科研处,北京100010

出　　处：《世界中医药》2024年第17期2688-2695,共8页World Chinese Medicine

基　　金：国家重点研发计划项目(2023YFC3503501);国家自然科学基金项目(82374368);第六批北京市级中医药专家学术经验继承项目。

摘　　要：中医药治疗慢性肾衰具有一定的临床优势,现有的慢性肾衰指南更多的是较为完善的中西医结合指南,虽内容不断充实,但缺少中医药特色。通过对既往发布的慢性肾衰中医和中西医结合行业学会标准进行梳理和分析,发现其中存在局限性,建议完善慢性肾衰的病因病机,规范辨证分型体系,增加证据等级推荐,完善疗效评价及非药物治疗和中医综合治疗标准化流程,增加辨证运动,补充合并症/并发症和慢性肾脏疾病(CKD)5期透析患者的中医药治疗指导,为建立更加完善慢性肾衰中医诊疗标准提供思路。Traditional Chinese Medicine(TCM)demonstrates certain clinical advantages in the treatment of chronic renal failure.Existing guidelines for chronic renal failure are predominantly comprehensive integrated TCM and Western medicine guidelines.While these guidelines have been continuously updated,they still lack distinctive TCM features.Through a review and analysis of previously published TCM and integrated TCM and Western medicine standards for chronic renal failure,certain limitations have been identified.It is recommended to refine the etiology and pathogenesis of chronic renal failure in TCM,standardize syndrome differentiation and classification systems,increase evidence-based recommendations,improve efficacy evaluation,and establish standardized protocols for non-pharmacological and comprehensive TCM treatments.Furthermore,incorporating syndrome-based exercises and adding TCM guidance for the treatment of comorbidities/complications and dialysis in the final stage(stage 5)of chronic kidney disease(CKD)could provide insights for developing more comprehensive TCM diagnostic and treatment standards for chronic renal failure.

关 键 词：慢性肾脏疾病 慢性肾衰 中医药 中西医结合 指南 诊疗标准 专家共识 标准化 

分 类 号：R259[医药卫生—中西医结合]