糖尿病肾病中西医研究进展  

Research Progress of Diabetic Nephropathy in Traditional Chinese and Western Medicine

作　　者：李月[1] 于思明[2] 陆鑫鑫 韩泽会 

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

出　　处：《中医学》2024年第7期1584-1589,共6页Traditional Chinese Medicine

摘　　要：糖尿病肾病是糖尿病较为常见且最严重的并发症,也是终末期肾脏病较为常见的原因。本病在早期常无典型的临床表现,经常通过实验室检出发现,而一旦出现蛋白尿,则意味着已经进入到糖尿病肾病阶段,若持续大量蛋白尿、水肿、难治性高血压时,说明肾功能已明显受损,最终向终末期肾病发展。糖尿病发展至糖尿病肾病阶段常受血糖、血压、体重、年龄和遗传等因素的影响。对于本病治疗,目前有中医治疗、西医治疗两种治疗方式,而中医治疗包括中医内治法和中医外治法;而西医治疗包括药物治疗及肾脏替代治疗。目前临床常采用中西医结合治疗,能够较好地维持患者的肾功能、延缓肾脏病的进展。本文将对中西医治疗本病进行综述。Diabetic nephropathy is a common and serious complication of diabetes and a frequent cause of end-stage renal disease. This disease often has no typical clinical manifestations in its early stages and is usually detected through laboratory testing. The appearance of proteinuria indicates the progression of diabetic nephropathy. Persistent heavy proteinuria, edema, and refractory hypertension suggest significant impairment of renal function, ultimately leading to end-stage renal disease. The development of diabetes to diabetic nephropathy is often influenced by factors such as blood glucose, blood pressure, body weight, age, and genetics. Currently, there are two main treatment approaches for this disease: traditional Chinese medicine and Western medicine. Traditional Chinese medicine includes internal and external therapies, while Western medicine involves drug treatment and renal replacement therapy. The clinical practice of combining traditional Chinese and Western medicine can better maintain patients’ renal function and delay the progression of renal disease. This article provides a review of the treatment of this disease in traditional Chinese and Western medicine.

关 键 词：糖尿病肾病 治疗 研究进展 综述 

分 类 号：R58[医药卫生—内分泌]