基层糖尿病肾脏疾病中西医结合治疗和随访管理专家共识  

Expert consensus on integrated traditional Chinese and Western medicine treatment and follow-up management of diabetic kidney disease in primary care clinicians

作　　者：中国研究型医院学会肾脏病学专业委员会专家组 刘章锁[2] 张勉之[3] 刘东伟[4] 樊威伟[5] 无;LIU Zhangsuo;ZHANG Mianzhi(Expert Group of the Nephrology Professional Committee of the Chinese Research Hospital Association;the First Affiliated Hospital of Zhengzhou University,Henan Kidney Disease Research Center,Zhengzhou 450018,China;Tianjin Academy of Traditional Chinese Medicine,Tianjin 300120,China)

机构地区：[1]不详 [2]郑州大学第一附属医院河南省肾脏病研究中心,郑州450018 [3]天津市中医药研究院,天津300120 [4]郑州大学第一附属医院中西医结合肾病科 [5]天津市中医药研究院附属医院肾病科

出　　处：《中国研究型医院》2024年第5期1-15,共15页Chinese Research Hospitals

摘　　要：糖尿病肾脏疾病(DKD)是糖尿病最常见的并发症之一,已成为我国慢性肾脏病的首要病因。由于基层医院医疗资源欠缺、患者健康意识薄弱,呈现DKD检出率及治疗率低、血糖控制达标率低、进展速度快的特点,规范诊治与随访管理已迫在眉睫。近年来,医学的快速发展为DKD治疗提供了更多选择,中医中药在改善DKD临床症状和预后方面也发挥了重要作用。开展中西医结合治疗和随访管理对于提升基层DKD管理水平、改善DKD患者预后具有重要意义。近期,多个学会和协会团体发布了关于DKD防治方面的指南和共识,对DKD的防治提供了指导,但基层适用度和推广度受限,可及性和可操作性不足。鉴于此,中国研究型医院学会肾脏病学专业委员会组织中西医肾脏病专家,参考国内外指南、整合相关循证依据、结合临床实践经验,制定了本版《基层糖尿病肾脏疾病中西医结合治疗和随访管理专家共识》。本共识对基层DKD中西医结合治疗给出了推荐意见和建议,并绘制了基层DKD随访管理模式图,旨在帮助基层临床医师提高DKD中西医结合诊疗和随访管理水平。Diabetic kidney disease(DKD)is one of the most common complications of diabetes and has become the leading cause of chronic kidney disease in China.Due to the lack of medical resources primary care clinicians and the weak health awareness among patients,there are characteristics of low detection and treatment rate of DKD,low rates of glycemics control,and rapid progression.Standardized diagnosis,treatment,and follow-up management are urgently needed.In recent years,rapid advancements in medicine have provided more options for DKD treatment.Traditional Chinese medicine has also played an important role in improving the clinical symptoms and prognosis of DKD.Implementing integrated traditional Chinese and western medicine treatment and follow-up management is crucial for enhancing the management level of DKD in primary care clinicians and improving patients outcomes.Recently,several societies and associations have released guidelines and consensus on the prevention and treatment of DKD,offering guidance on DKD management.However,the applicability and dissemination in primary care clinicians are limited,with insufficient accessibility and operability.The Nephrology Professional Committee of China Research Hospital Association organized experts in traditional Chinese and western medicine for kidney diseases,referring to domestic and international guidelines,integrating relevant evidence-based evidence,and combining clinical practice experience,to develop this edition of the Expert consensus on integrated traditional Chinese and Western medicine treatment and follow-up management of diabetic kidney disease in primary care clinicians.This consensus provides recommendations and suggestions for the integrated treatment of DKD in primary medical institution and includes a model diagram for follow-up management of DKD.Its purpose is to assist primary care clinicians in enhancing their capabilities for integrated diagnosis and treatment,as well as the management of follow-up care for DKD.

关 键 词：糖尿病肾病 疾病管理 基层医疗机构 中西医结合 专家共识 

分 类 号：R587.2[医药卫生—内分泌] R692.9[医药卫生—内科学]