慢性肾脏病多学科临床管理路径专家共识  

Expert consensus on multidisciplinary clinical management for chronic kidney disease

作　　者：中国医药教育协会临床肾脏病专委会 慢性肾脏病多学科临床管理路径专家共识委员会 陈楠[2] 胡晓帆[2] 刘韵子 Clinical Nephrology Committee,China Medical Education Association;Expert Consensus Committee on Multidisciplinary Clinical Management for Chronic Kidney Disease;Chen Nan(不详;Department of Nephrology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]不详 [2]上海交通大学医学院附属瑞金医院肾内科,上海200025

出　　处：《中华内科杂志》2024年第12期1216-1227,共12页Chinese Journal of Internal Medicine

摘　　要：慢性肾脏病(CKD)已成为全球范围内威胁人类健康的重大公共卫生问题。当CKD患者最终进展至终末期肾病后,将给个人和社会带来沉重的负担。目前,我国CKD总体诊断率低,诊疗现状不容乐观。因此,迫切需要建立CKD的防治体系,完善CKD多学科临床管理路径,提升各学科医师对CKD高危患者的共筛共管能力。中国医药教育协会临床肾脏病专委会、慢性肾脏病多学科临床管理路径专家共识委员会依据国内外最新研究证据,结合临床经验,制定了本共识,旨在建立多学科CKD共筛共管模式,实现CKD患者早发现、早治疗,延缓肾衰竭进展,降低心脑血管疾病和死亡风险,以达到改善CKD患者预后、降低CKD疾病负担的目标。Chronic kidney disease(CKD)has been a major public health challenge threatening human health worldwide.When patients with CKD eventually progress to end-stage kidney disease,it imposes a substantial burden on individuals and society.Currently,the diagnosis rate of CKD in China remains low,with an unfavorable status regarding diagnosis and treatment.Therefore,it is urgent to establish a comprehensive prevention and treatment system of CKD,that enhances the multidisciplinary clinical management pathway for CKD patients while improving physicians′co-screening and co-management capabilities across various disciplines for high-risk individuals.Based on current evidence and clinical experience,we formulate the expert consensus on multidisciplinary clinical management approach for CKD,which aims to achieve early detection,early treatment,delay the progression of kidney failure,reduce the risk of cardiovascular,cerebrovascular diseases as well as death in CKD patients,while improving the prognosis of CKD patients and alleviating the burden of CKD disease with a multidisciplinary co-screening co-management model for CKD.

关 键 词：慢性肾脏病 高危人群 多学科管理 药物治疗 

分 类 号：R692[医药卫生—泌尿科学]