{"id":31197,"date":"2024-04-24T00:01:11","date_gmt":"2024-04-24T00:01:11","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=31197"},"modified":"2024-04-24T00:01:11","modified_gmt":"2024-04-24T00:01:11","slug":"%e6%97%b6%e9%9a%94-12-%e5%b9%b4%ef%bc%81kdigo-ckd-%e8%af%84%e4%bc%b0%e5%92%8c%e7%ae%a1%e7%90%86%e4%b8%b4%e5%ba%8a%e5%ae%9e%e8%b7%b5%e6%8c%87%e5%8d%97%e9%87%8d%e7%a3%85%e6%9b%b4%e6%96%b0%ef%bc%8c","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=31197","title":{"rendered":"\u65f6\u9694 12 \u5e74\uff01KDIGO CKD \u8bc4\u4f30\u548c\u7ba1\u7406\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u91cd\u78c5\u66f4\u65b0\uff0c\u4e00\u6587\u68b3\u7406\u6838\u5fc3\u8981\u70b9\uff01"},"content":{"rendered":"<p>2024 \u5e74 3 \u6708 13 \u65e5\uff0c\u6539\u5584\u5168\u7403\u80be\u810f\u75c5\u9884\u540e\u7ec4\u7ec7\uff08KDIGO\uff09\u66f4\u65b0\u53d1\u5e03\u4e86\u6162\u6027\u80be\u810f\u75c5\uff08CKD\uff09\u8bc4\u4f30\u548c\u7ba1\u7406\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082024 \u7248\u6307\u5357\uff09\uff0c\u5e76\u540c\u6b65\u53d1\u8868\u5728 Supplement to Kidney International \u6742\u5fd7\u4e0a\u3002<\/p>\n<p>\u8868 1 \u4e24\u7248\u6307\u5357\u7684\u7ae0\u8282\u5bf9\u6bd4<\/p>\n<p>\u4e00<\/p>\n<p>CKD \u8bc4\u4f30<\/p>\n<p>\u672c\u7ae0\u8282\u5305\u62ec 4 \u4e2a\u65b9\u9762\uff1aCKD \u53d1\u73b0\u4e0e\u8bc4\u4f30\u3001GFR \u8bc4\u4f30\u3001\u86cb\u767d\u5c3f\u8bc4\u4f30\u4ee5\u53ca\u5373\u65f6\u68c0\u6d4b\uff08POCT\uff09\u7684\u5e94\u7528\u3002<\/p>\n<p>1<\/p>\n<p>CKD \u53d1\u73b0\u4e0e\u8bc4\u4f30<\/p>\n<p>\u5982\u4f55\u53d1\u73b0 CKD\uff1f\uff08\u5f3a\u8c03\u86cb\u767d\u5c3f\uff09<\/p>\n<p>\u2460 \u4f7f\u7528\u5c3f\u767d\u86cb\u767d\u6d4b\u91cf\u548c\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\uff08GFR\uff09\u8bc4\u4f30\u6765\u68c0\u6d4b CKD \u98ce\u9669\u4eba\u7fa4\u3002<\/p>\n<p>\u2461 \u5728\u5076\u7136\u53d1\u73b0\u767d\u86cb\u767d\/\u808c\u9150\u6bd4\u503c\uff08ACR\uff09\u5347\u9ad8\u3001\u8840\u5c3f\u6216\u4f4e\u4f30\u8ba1\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\uff08eGFR\uff09\u540e\uff0c\u5e94\u91cd\u590d\u68c0\u6d4b\u4ee5\u786e\u8ba4\u5b58\u5728 CKD\u3002<\/p>\n<p>CKD \u7684\u5206\u671f\u65b9\u6cd5<\/p>\n<p>\u63a8\u8350 1.1.2.1\uff1a\u5bf9\u4e8e\u6709 CKD \u98ce\u9669\u7684\u6210\u5e74\u4eba\uff0c\u5efa\u8bae\u4f7f\u7528\u57fa\u4e8e\u808c\u9150\u7684\u4f30\u8ba1\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\uff08eGFRcr\uff09\u3002\u5982\u679c\u80f1\u6291\u7d20 C \u53ef\u7528\uff0cGFR \u5e94\u6839\u636e\u808c\u9150\u548c\u80f1\u6291\u7d20 C \u7684\u8054\u5408\u4f30\u8ba1\uff08\u57fa\u4e8e\u808c\u9150\u548c\u80f1\u6291\u7d20 C \u7684\u4f30\u8ba1\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\uff0ceGFRcr-cys\uff09\uff081B\uff09\u3002<\/p>\n<p>CKD \u7684\u6162\u6027\u5316\u8bc4\u4f30<\/p>\n<p>CKD \u7684\u6162\u6027\u5316\uff08\u6301\u7eed\u65f6\u95f4\uff1e3 \u4e2a\u6708\uff09\u53ef\u901a\u8fc7\u4ee5\u4e0b\u65b9\u5f0f\u786e\u5b9a\uff1a<\/p>\n<p>\u2460 \u56de\u987e\u8fc7\u53bb\u5bf9 GFR \u7684\u6d4b\u91cf\/\u4f30\u8ba1<\/p>\n<p>\u2461 \u56de\u987e\u8fc7\u53bb\u7684\u767d\u86cb\u767d\u5c3f\/\u86cb\u767d\u5c3f\u6d4b\u91cf\u548c\u5c3f\u663e\u5fae\u955c\u68c0\u67e5<\/p>\n<p>\u2462 \u5f71\u50cf\u5b66\u8868\u73b0\u4e3a\u80be\u4f53\u79ef\u7f29\u5c0f\u3001\u76ae\u8d28\u539a\u5ea6\u51cf\u5c11<\/p>\n<p>\u2463 \u80be\u810f\u75c5\u7406\u8868\u73b0\u5982\u7ea4\u7ef4\u5316\u3001\u840e\u7f29<\/p>\n<p>\u2464 \u75c5\u53f2\uff0c\u7279\u522b\u662f\u5df2\u77e5\u5bfc\u81f4\u6216\u4fc3\u6210 CKD \u7684\u75be\u75c5<\/p>\n<p>\u2465 \u5728 3 \u4e2a\u6708\u5185\u53ca\u4ee5\u540e\u91cd\u590d\u6d4b\u91cf\u3002<\/p>\n<p>\u4f46\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u4e0d\u80fd\u6839\u636e eGFR \u548c ACR \u7684\u5355\u4e00\u5f02\u5e38\u6c34\u5e73\u6765\u5047\u8bbe\u6162\u6027\u5316\uff0c\u56e0\u4e3a\u8be5\u53d1\u73b0\u53ef\u80fd\u662f\u8fd1\u671f\u6025\u6027\u80be\u635f\u4f24\uff08AKI\uff09\u4e8b\u4ef6\u6216\u6025\u6027\u80be\u75c5\uff08AKD\uff09\u7684\u7ed3\u679c\u3002<\/p>\n<p>\u5982\u679c\u8ba4\u4e3a CKD \u53ef\u80fd\u662f\u56e0\u4e3a\u5b58\u5728\u5176\u4ed6\u4e34\u5e8a\u6307\u6807\uff0c\u5219\u8003\u8651\u5728\u9996\u6b21\u51fa\u73b0 GFR \u964d\u4f4e\u6216 ACR \u5347\u9ad8\u65f6\u5c31\u5f00\u59cb\u8fdb\u884c CKD \u6cbb\u7597\u3002<\/p>\n<p>\u75c5\u56e0\u8bc4\u4ef7\uff08\u63a8\u8350\u9002\u65f6\u5f00\u5c55\u80be\u6d3b\u68c0\uff09<\/p>\n<p>\u5229\u7528\u4e34\u5e8a\u80cc\u666f\u3001\u4e2a\u4eba\u548c\u5bb6\u65cf\u53f2\u3001\u793e\u4f1a\u548c\u73af\u5883\u56e0\u7d20\u3001\u836f\u7269\u3001\u4f53\u683c\u68c0\u67e5\u3001\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u3001\u5f71\u50cf\u5b66\u4ee5\u53ca\u9057\u4f20\u548c\u75c5\u7406\u8bca\u65ad\u6765\u786e\u5b9a CKD \u7684\u75c5\u56e0\u3002<\/p>\n<p>\u56fe 1 CKD \u7684\u75c5\u56e0\u8bc4\u4f30<\/p>\n<p>\u63a8\u8350 1.1.4.1\uff1a\u5efa\u8bae\u5728\u4e34\u5e8a\u9002\u5f53\u65f6\u8fdb\u884c\u80be\u810f\u6d3b\u68c0\uff0c\u4f5c\u4e3a\u4e00\u79cd\u53ef\u63a5\u53d7\u7684\u3001\u5b89\u5168\u7684\u3001\u8bca\u65ad\u6027\u8bd5\u9a8c\uff0c\u4ee5\u8bc4\u4f30\u539f\u56e0\u548c\u6307\u5bfc\u6cbb\u7597\u51b3\u7b56\uff082D\uff09\u3002<\/p>\n<p>\u8868 2 \u5173\u4e8e\u9009\u62e9\u7528\u6765\u8bc4\u4f30\u75c5\u56e0\u8f85\u52a9\u68c0\u67e5\u7684\u6307\u5bfc\u8868<\/p>\n<p>2<\/p>\n<p>GFR \u8bc4\u4f30\uff08eGFRcr \u548c eGFRcr-cys\uff09<\/p>\n<p>\u63a8\u8350 1.2.2.1\uff1a\u5728 eGFRcr \u4e0d\u51c6\u786e\u4e14 GFR \u5f71\u54cd\u4e34\u5e8a\u51b3\u7b56\u7684\u4e34\u5e8a\u60c5\u51b5\u4e0b\u4f7f\u7528 eGFRcr-cys\uff081C\uff09\u3002<\/p>\n<p>\u63a8\u8350 1.2.4.1\uff1a\u5728 GFR \u4f30\u7b97\u65b9\u7a0b\u7684\u9009\u62e9\u4e0a\uff0c\u5efa\u8bae\u4f7f\u7528\u7ecf\u8fc7\u9a8c\u8bc1\u7684 GFR \u4f30\u8ba1\u65b9\u7a0b\u4ece\u8840\u6e05\u8fc7\u6ee4\u6807\u8bb0\u7269\u4e2d\u83b7\u5f97 eGFR\uff0c\u800c\u4e0d\u662f\u4ec5\u4f9d\u8d56\u4e8e\u8840\u6e05\u8fc7\u6ee4\u6807\u8bb0\u7269\uff081D\uff09\u3002<\/p>\n<p>\u56fe 2&nbsp;\u4f7f\u7528\u521d\u59cb\u548c\u652f\u6301\u6027\u8bd5\u9a8c\u8bc4\u4ef7 GFR \u7684\u65b9\u6cd5<\/p>\n<p>3<\/p>\n<p>\u86cb\u767d\u5c3f\u8bc4\u4ef7<\/p>\n<p>\u68c0\u6d4b\u86cb\u767d\u5c3f\u6837\u672c\u9996\u9009\u6668\u8d77\u4e2d\u6bb5\u5c3f\u3002\u4f7f\u7528\u4ee5\u4e0b\u6d4b\u91cf\u65b9\u6cd5\u521d\u6b65\u68c0\u6d4b\u86cb\u767d\u5c3f\uff08\u6309\u7167\u4f18\u5148\u987a\u5e8f\u964d\u5e8f\u6392\u5217\uff09\uff1a\u2460 \u5c3f\u767d\u86cb\u767d\/\u808c\u9150\u6bd4\u503c\uff08ACR\uff09\uff0c \u2461\u81ea\u52a8\u8bfb\u6570\u7684\u5c3f\u86cb\u767d\u5c3f\u6db2\u5206\u6790\u8bd5\u5242\u6761\u6216 \u2462 \u624b\u52a8\u8bfb\u6570\u7684\u5c3f\u86cb\u767d\u5c3f\u6db2\u5206\u6790\u8bd5\u5242\u6761\u3002<\/p>\n<p>\u5982\u679c\u662f\u6d4b\u5b9a\u5c3f\u86cb\u767d\uff0c\u5219\u4f7f\u7528\u4ee5\u4e0b\u6d4b\u91cf\u65b9\u6cd5\uff1a\u2460&nbsp;\u5c3f\u86cb\u767d\/\u808c\u9150\u6bd4\u503c\uff08PCR\uff09\uff0c\u2461&nbsp;\u81ea\u52a8\u8bfb\u6570\u7684\u603b\u86cb\u767d\u5c3f\u6db2\u5206\u6790\u8bd5\u5242\u6761\u6216 \u2462 \u624b\u52a8\u8bfb\u6570\u7684\u5c3f\u86cb\u767d\u5c3f\u6db2\u5206\u6790\u8bd5\u5242\u6761\u3002<\/p>\n<p>\u5b9e\u8df5\u8981\u70b9 1.3.1.3\uff1a\u4e86\u89e3\u53ef\u80fd\u5f71\u54cd\u5c3f\u767d\u86cb\u767d\u548c\u5c3f\u808c\u9150\u6d4b\u91cf\u503c\u89e3\u91ca\u7684\u56e0\u7d20\uff0c\u5e76\u8981\u6c42\u8fdb\u884c\u786e\u8ba4\u8bd5\u9a8c\u3002<\/p>\n<p>\u8868 3 \u5f15\u8d77\u5c3f\u767d\u86cb\u767d\u6216\u5c3f\u86cb\u767d\u751f\u7269\u5b66\u53d8\u5f02\u7684\u56e0\u7d20<\/p>\n<p>4<\/p>\n<p>\u5373\u65f6\u68c0\u6d4b\uff08POCT\uff09<\/p>\n<p>\u6b64\u6b21\u66f4\u65b0\u6307\u5357\u65b0\u589e\u4e86 POCT \u7528\u4e8e CKD \u68c0\u6d4b\uff0cPOCT \u5177\u5907\u65b9\u4fbf\u3001\u65e0\u9700\u5c06\u6837\u672c\u8fd0\u9001\u5230\u4e2d\u5fc3\u5b9e\u9a8c\u5ba4\u3001\u6837\u672c\u5904\u7406\u5c11\u3001\u5206\u6790\u8fc7\u7a0b\u7b80\u5355\u3001\u6837\u672c\u8981\u6c42\u4f4e\u3001\u53ef\u5feb\u901f\u83b7\u5f97\u7ed3\u679c\u7b49\u591a\u91cd\u4f18\u52bf\u3002<\/p>\n<p>\u63a8\u8350 1.4.1\uff1a\u5efa\u8bae\u5728\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u6761\u4ef6\u6709\u9650\u6216\u53ef\u4ee5\u63d0\u4f9b\u5373\u65f6\u68c0\u6d4b\u8bbe\u5907\u7684\u60c5\u51b5\u4e0b\uff0c\u4f7f\u7528 POCT \u68c0\u6d4b\u808c\u9150\u548c\u5c3f\u767d\u86cb\u767d\uff0c\u4ee5\u4fc3\u8fdb\u4e34\u5e8a\u8def\u5f84\uff082C\uff09\u3002<\/p>\n<p>\u2460&nbsp;\u5f53\u4f7f\u7528 POCT \u8bbe\u5907\u8fdb\u884c\u808c\u9150\u548c\u5c3f\u767d\u86cb\u767d\u68c0\u6d4b\u65f6\uff0c\u5e94\u786e\u4fdd\u5206\u6790\u524d\u3001\u5206\u6790\u4e2d\u3001\u5206\u6790\u540e\u4f7f\u7528\u4e0e\u6807\u672c\u91c7\u96c6\u548c\u8bbe\u5907\u6027\u80fd\u76f8\u540c\u7684\u8d28\u91cf\u6807\u51c6\uff0c\u5305\u62ec\u5916\u90e8\u8d28\u91cf\u8bc4\u4f30\uff0c\u4ee5\u53ca\u5bf9\u7ed3\u679c\u7684\u89e3\u8bfb\u3002<\/p>\n<p>\u2461&nbsp;\u5f53\u4f7f\u7528 POCT \u8bbe\u5907\u8fdb\u884c\u808c\u9150\u68c0\u6d4b\u65f6\uff0c\u5e94\u5f53\u751f\u6210 eGFR\uff0c\u5176\u4f7f\u7528\u7684 eGFR \u516c\u5f0f\u5e94\u4e0e\u8be5\u533a\u57df\u5185\u6240\u4f7f\u7528\u7684\u516c\u5f0f\u4e00\u81f4\u3002<\/p>\n<p>\u2462&nbsp;\u5f53\u4f7f\u7528 POCT \u8bbe\u5907\u8fdb\u884c\u767d\u86cb\u767d\u5c3f\u68c0\u6d4b\u65f6\uff0c\u540c\u65f6\u5206\u6790\u808c\u9150\u548c\u4ea7\u751f ACR \u7684\u80fd\u529b\u662f\u5f88\u91cd\u8981\u7684\u3002\u8bc4\u4f30 POCT ACR \u8bbe\u5907\u5728 85% \u660e\u663e\u767d\u86cb\u767d\u5c3f\uff08ACR\u226530 mg\/g \u6216 \u22653 mg\/mmol\uff09\u60a3\u8005\u4e2d\u4ea7\u751f\u9633\u6027\u7ed3\u679c\u7684\u80fd\u529b\u4f5c\u4e3a\u8bc4\u4f30\u548c\u8003\u8651\u4f7f\u7528\u8be5\u8bbe\u5907\u7684\u4e00\u90e8\u5206\u3002<\/p>\n<p>\u4e8c<\/p>\n<p>CKD \u60a3\u8005\u7684\u98ce\u9669\u8bc4\u4f30<\/p>\n<p>1<\/p>\n<p>\u57fa\u4e8e GFR \u548cACR \u8bc4\u4f30 CKD \u8fdb\u5c55<\/p>\n<p>\u2460 CKD \u60a3\u8005\u5e94\u81f3\u5c11\u6bcf\u5e74\u68c0\u6d4b 1 \u6b21\u767d\u86cb\u767d\u5c3f\uff08\u6210\u4eba\uff09\u6216\u86cb\u767d\u5c3f\uff08\u60a3\u513f\uff09\u548c eGFR\u3002<\/p>\n<p>\u2461 \u5f53\u6d4b\u91cf\u7ed3\u679c\u4f1a\u5f71\u54cd\u6cbb\u7597\u51b3\u7b56\u65f6\uff0c\u5bf9 CKD \u8fdb\u5c55\u98ce\u9669\u8f83\u9ad8\u7684\u4e2a\u4f53\u5e94\u589e\u52a0\u86cb\u767d\u5c3f\u548c GFR \u68c0\u6d4b\u9891\u7387\u3002<\/p>\n<p>\u2462 \u5bf9\u4e8e CKD \u60a3\u8005\uff0c\u5f53\u76d1\u6d4b eGFR \u53d8\u5316\uff1e20%\uff0c\u8d85\u8fc7\u4e86\u9884\u671f\u7684\u53d8\u5f02\u6027\u65f6\uff0c\u9700\u8981\u8fdb\u884c\u8bc4\u4f30\u3002<\/p>\n<p>\u2463 \u5bf9\u4e8e CKD \u60a3\u8005\uff0c\u5728\u5f00\u59cb\u4f7f\u7528\u8840\u6d41\u52a8\u529b\u5b66\u6d3b\u6027\u836f\u7269\u6cbb\u7597\uff0cGFR \u964d\u4f4e\uff1e30%\uff0c\u8d85\u8fc7\u4e86\u9884\u671f\u7684\u53d8\u5f02\u6027\u65f6\uff0c\u9700\u8981\u8fdb\u884c\u8bc4\u4f30\u3002<\/p>\n<p>\u2464 \u5bf9\u4e8e CKD \u60a3\u8005\uff0c\u76d1\u6d4b UACR \u51fa\u73b0\u7ffb\u500d\uff0c\u8d85\u8fc7\u4e86\u5b9e\u9a8c\u5ba4\u7684\u53d8\u5f02\u6027\u65f6\uff0c\u9700\u8981\u8fdb\u884c\u8bc4\u4f30\u3002<\/p>\n<p>2<\/p>\n<p>CKD \u98ce\u9669\u9884\u6d4b<\/p>\n<p>2023 KDIGO-CKD \u6307\u5357\u5728 CKD \u60a3\u8005\u75be\u75c5\u8fdb\u5c55\u7684\u98ce\u9669\u9884\u6d4b\u65b9\u9762\u6307\u51fa\uff0c\u4ec5\u4ec5\u4f9d\u9760 eGFR \u548c\/\u6216 ACR \u6307\u6807\u5f88\u96be\u51c6\u786e\u9884\u6d4b\u6bcf\u79cd\u4e0d\u826f\u7ed3\u5c40\u4e8b\u4ef6\u7684\u53d1\u751f\u98ce\u9669\u3002\u56e0\u6b64\uff0c\u5728\u8fdb\u884c\u98ce\u9669\u9884\u6d4b\u65f6\uff0c\u9700\u7efc\u5408\u8003\u8651\u60a3\u8005\u7684\u4eba\u53e3\u5b66\u7279\u5f81\u3001\u5408\u5e76\u75c7\u4ee5\u53ca\u751f\u6d3b\u65b9\u5f0f\u7b49\u56e0\u7d20\u3002\u66f4\u91cd\u8981\u7684\u662f\uff0c\u5e94\u4f7f\u7528\u51c6\u786e\u7684\u98ce\u9669\u9884\u6d4b\u6a21\u578b\u5bf9\u60a3\u8005\u8fdb\u884c\u4e2a\u4f53\u5316\u98ce\u9669\u8bc4\u4f30\uff0c\u8fd9\u4e5f\u662f\u4e2a\u4f53\u5316\u6cbb\u7597\u7684\u57fa\u7840\u3002<\/p>\n<p>\u63a8\u8350 2.2.1\uff1a\u5bf9\u4e8e CKD G3-G5 \u671f\u60a3\u8005\uff0c\u5efa\u8bae\u4f7f\u7528\u5916\u90e8\u9a8c\u8bc1\u7684\u98ce\u9669\u65b9\u7a0b\u6765\u4f30\u8ba1\u80be\u8870\u7aed\u7684\u7edd\u5bf9\u98ce\u9669\uff081A\uff09\u3002<\/p>\n<p>\u2460 \u9664\u4e86 eGFR\u3001\u5c3f ACR \u548c\u5176\u4ed6\u4e34\u5e8a\u7279\u5f81\u5916\uff0c\u8fd8\u5e94\u6839\u636e\u60a3\u8005 5 \u5e74\u5185\u7684\u80be\u8870\u7aed\u98ce\u9669\u662f\u5426\u5728 3%\uff5e5%\uff0c\u4f5c\u4e3a\u8f6c\u8bca\u81f3\u80be\u5185\u79d1\u7684\u4f9d\u636e\uff1b<\/p>\n<p>\u2461 2 \u5e74\u5185\u80be\u8870\u7aed\u98ce\u9669\u662f\u5426\uff1e10% \uff0c\u7528\u4e8e\u786e\u5b9a\u591a\u5b66\u79d1\u6cbb\u7597\u7684\u65f6\u673a\uff1b<\/p>\n<p>\u2462 2 \u5e74\u5185\u80be\u8870\u7aed\u98ce\u9669\u662f\u5426\uff1e40%\uff0c\u7528\u4e8e\u786e\u5b9a\u8840\u7ba1\u901a\u8def\u3001\u80be\u810f\u66ff\u4ee3\u6cbb\u7597\u7684\u65f6\u673a\u3002<\/p>\n<p>3<\/p>\n<p>CKD \u60a3\u8005\u5fc3\u8840\u7ba1\u98ce\u9669\u9884\u6d4b<\/p>\n<p>\u2460 \u5bf9\u4e8e\u5fc3\u8840\u7ba1\u98ce\u9669\u9884\u6d4b\u4ee5\u6307\u5bfc CKD \u60a3\u8005\u7684\u9884\u9632\u6027\u6cbb\u7597\uff0c\u4f7f\u7528\u5728 CKD \u4eba\u7fa4\u4e2d\u5f00\u53d1\u6216\u5305\u542b eGFR \u548c\u86cb\u767d\u5c3f\u7684\u5916\u90e8\u9a8c\u8bc1\u6a21\u578b\u3002<\/p>\n<p>\u2461 \u5bf9\u4e8e\u6b7b\u4ea1\u7387\u98ce\u9669\u9884\u6d4b\uff0c\u4ee5\u6307\u5bfc\u5173\u4e8e\u62a4\u7406\u76ee\u6807\u7684\u8ba8\u8bba\uff0c\u8bf7\u4f7f\u7528\u5916\u90e8\u9a8c\u8bc1\u7684\u6a21\u578b\u6765\u9884\u6d4b CKD \u4eba\u7fa4\u4e2d\u4e13\u95e8\u5f00\u53d1\u7684\u5168\u56e0\u6b7b\u4ea1\u7387\u3002<\/p>\n<p>\u4e09<\/p>\n<p>\u5ef6\u7f13 CKD \u8fdb\u5c55\u53ca\u5bf9\u5e76\u53d1\u75c7\u7684\u5904\u7406<\/p>\n<p>CKD \u6cbb\u7597\u98ce\u9669\u53ca\u98ce\u9669\u56e0\u7d20\u8c03\u6574\u4e3b\u8981\u5305\u62ec\uff1a\u751f\u6d3b\u65b9\u5f0f\u3001\u4e00\u7ebf\u6cbb\u7597\u836f\u7269\u53ca\u5bf9\u5e94\u5e76\u53d1\u75c7\u7684\u7ba1\u7406\u3002<\/p>\n<p>1<\/p>\n<p>\u8fd0\u52a8<\/p>\n<p>\u63a8\u8350 3.2.2.1\uff1a\u5efa\u8bae CKD \u60a3\u8005\u8fdb\u884c\u4e2d\u7b49\u5f3a\u5ea6\u7684\u4f53\u80b2\u6d3b\u52a8\uff0c\u6bcf\u5468\u81f3\u5c11 150 \u5206\u949f\uff0c\u6216\u8fbe\u5230\u4e0e\u5176\u5fc3\u8840\u7ba1\u548c\u8eab\u4f53\u8010\u53d7\u6027\u76f8\u9002\u5e94\u7684\u6c34\u5e73\uff081D\uff09\u3002<\/p>\n<p>2<\/p>\n<p>\u996e\u98df<\/p>\n<p>\u63a8\u8350 3.3.1.1\uff1a\u5efa\u8bae CKD G3-G5\u6210\u4eba\u7684\u86cb\u767d\u8d28\u6444\u5165\u91cf\u4fdd\u6301\u4e3a 0.8 g\/kg\/d\uff082C\uff09\u3002<\/p>\n<p>\u63a8\u8350 3.3.2\uff1a\u5efa\u8bae CKD\u60a3\u8005\u6bcf\u5929\u94a0\u6444\u5165\u91cf\u4e3a &lt;2 \u514b\uff08\u6216 &lt;90 mmol \u94a0\uff0c\u6216 &lt;5 \u514b\u6c2f\u5316\u94a0\uff09\uff082C\uff09\u3002<\/p>\n<p>3<\/p>\n<p>\u8840\u538b<\/p>\n<p>\u63a8\u8350 3.4.1\uff1a\u5bf9\u4e8e CKD \u5e76\u9ad8\u8840\u538b\u6210\u4eba\u60a3\u8005\uff0c\u5728\u53ef\u8010\u53d7\u60c5\u51b5\u4e0b\uff0c\u5efa\u8bae\u63a7\u5236\u76ee\u6807\u6536\u7f29\u538b\uff08SBP\uff09&lt;120 mmHg\uff0c\u5e76\u4f7f\u7528\u6807\u51c6\u5316\u529e\u516c\u5ba4\u8840\u538b\u6d4b\u91cf\uff082B\uff09\u3002<\/p>\n<p>\u63a8\u8350 3.4.2\uff1a\u5bf9\u4e8e CKD \u513f\u7ae5\u60a3\u8005\uff0c\u901a\u8fc7\u52a8\u6001\u8840\u538b\u76d1\u6d4b\uff08ABPM\uff09\u8bc4\u4f30 24 \u5c0f\u65f6\u5e73\u5747\u52a8\u8109\u538b\uff08MAP\uff09\u5e94\u964d\u4f4e\u5230\u5e74\u9f84\u3001\u6027\u522b\u548c\u8eab\u9ad8\u7684 50 \u767e\u5206\u4f4d\uff082C\uff09\u3002<\/p>\n<p>4<\/p>\n<p>\u8840\u7cd6<\/p>\n<p>\u5173\u4e8e\u8840\u7cd6\u7684\u5efa\u8bae\u3001\u5b9e\u8df5\u8981\u70b9\u548c\u7814\u7a76\u5efa\u8bae\uff0c\u53c2\u8003 KDIGO 2022 \u5e74\u6162\u6027\u80be\u810f\u75be\u75c5\u4e2d\u7684\u7cd6\u5c3f\u75c5\u7ba1\u7406\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u3002<\/p>\n<p>5<\/p>\n<p>\u6cbb\u7597\u836f\u7269<\/p>\n<p>\u80be\u7d20-\u8840\u7ba1\u7d27\u5f20\u7d20\u6291\u5236\u5242\uff08RASi\uff09<\/p>\n<p>\u63a8\u8350 3.6.1\uff1a\u5bf9\u4e8e CKD \u5e76\u4e25\u91cd\u767d\u86cb\u767d\u5c3f\uff08G1-G4\u3001A3\uff09\u4e14\u65e0\u7cd6\u5c3f\u75c5\u7684\u60a3\u8005\uff0c\u5efa\u8bae\u8d77\u59cb RASi \uff08ACEi \u6216 ARB\uff09\u6cbb\u7597\uff081B\uff09\u3002<\/p>\n<p>\u63a8\u83503.6.2\uff1a\u5bf9\u4e8e CKD \u5e76\u4e2d\u5ea6\u767d\u86cb\u767d\u5c3f\uff08G1-G4\u3001A2\uff09\u4e14\u65e0\u7cd6\u5c3f\u75c5\u7684\u60a3\u8005\uff0c\u5efa\u8bae\u8d77\u59cb RASi \u6cbb\u7597 \uff082C\uff09\u3002<\/p>\n<p>\u63a8\u83503.6.3\uff1a\u5bf9\u4e8e CKD \u548c\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u86cb\u767d\u5c3f\uff08G1-G4\u3001A2 \u548c A3\uff09\u5408\u5e76\u7cd6\u5c3f\u75c5\uff081B\uff09\u7684\u60a3\u8005\u5f00\u59cb\u4f7f\u7528 RASi\uff08ACEi \u6216 ARB\uff09\u3002<\/p>\n<p>\u63a8\u83503.6.4\uff1a\u65e0\u8bba\u662f\u5426\u5408\u5e76\u7cd6\u5c3f\u75c5\uff0cCKD \u60a3\u8005\u5e94\u907f\u514d\u8054\u5408\u4f7f\u7528 ACEi\u3001ARB \u548c\u76f4\u63a5\u80be\u7d20\u6291\u5236\u5242\uff08DRI\uff09\u6cbb\u7597\uff081B\uff09\u3002<\/p>\n<p>\u94a0-\u8461\u8404\u7cd6\u5171\u8f6c\u8fd0\u86cb\u767d 2 \u6291\u5236\u5242\uff08SGLT2i\uff09<\/p>\n<p>\u63a8\u8350 3.7.1\uff1a\u5bf9\u4e8e&nbsp;2 \u578b\u7cd6\u5c3f\u75c5\uff08T2D\uff09\u5e76CKD \u4e14 eGFR\u226520 mL\/min\/1.73m<sup>2<\/sup> \u7684\u60a3\u8005\uff0c\u63a8\u8350\u4f7f\u7528 SGLT2i\u6cbb\u7597\uff081A\uff09\u3002<\/p>\n<p>\u63a8\u8350 3.7.2\uff1a\u63a8\u8350\u4f7f\u7528 SGLT2i \u6cbb\u7597\u4ee5\u4e0b\u6210\u4eba CKD \u60a3\u8005\uff1a\u2460 eGFR\u226520 mL\/min\/1.73m<sup>2<\/sup>\uff0c\u4e14\u5c3f ACR\u2265200 mg\/g\uff08\u226520 mg\/mmol\uff09\uff1b\u2461 \u5fc3\u529b\u8870\u7aed\uff0c\u65e0\u8bba\u86cb\u767d\u5c3f\u6c34\u5e73\u5982\u4f55\uff081A\uff09\u3002<\/p>\n<p>\u63a8\u8350 3.7.3\uff1a\u5bf9\u4e8e eGFR 20\uff5e45 mL\/min\/1.73m<sup>2&nbsp;<\/sup>\u7684\u4e14\u5c3f ACR\uff1c200 mg\/g \u7684\u6210\u4eba\u60a3\u8005\uff0c\u5efa\u8bae\u4f7f\u7528 SGLT2i \u6cbb\u7597\u3002<\/p>\n<p>\u76d0\u76ae\u8d28\u6fc0\u7d20\u53d7\u4f53\u62ee\u6297\u5242\uff08MRA\uff09<\/p>\n<p>\u63a8\u8350 3.8.1\uff1a\u5bf9\u4e8e eGFR\uff1e25 mL\/min\/1.73m<sup>2<\/sup>\u3001\u8840\u94be\u6b63\u5e38\uff0c\u5728\u4f7f\u7528\u6700\u5927\u53ef\u8010\u53d7\u5242\u91cf\u7684 RASi \u540e\u4ecd\u5b58\u5728\u6301\u7eed\u6027\u86cb\u767d\u5c3f\uff08&gt;30 mg\/g [&gt;3 mg\/mmol]\uff09\u7684 T2D \u6210\u4eba\u60a3\u8005\uff0c\u63a8\u8350\u4f7f\u7528\u5177\u6709\u660e\u786e\u80be\u5fc3\u83b7\u76ca\u8bc1\u636e\u7684\u975e\u753e\u4f53\u7c7b MRA\u6765\u63a7\u5236\u86cb\u767d\u5c3f\uff082A\uff09\u3002<\/p>\n<p>\u80f0\u9ad8\u8840\u7cd6\u7d20\u6837\u80bd-1 \u53d7\u4f53\u6fc0\u52a8\u5242 (GLP-1 RA\uff09<\/p>\n<p>\u63a8\u8350 3.9.1 \u5bf9\u4e8e\u4f7f\u7528\u4e8c\u7532\u53cc\u80cd\u548c SGLT2i \u6cbb\u7597\u4f46\u8840\u7cd6\u63a7\u5236\u4ecd\u4e0d\u4f73\uff0c\u6216\u4e0d\u80fd\u4f7f\u7528\u8fd9\u4e9b\u836f\u7269\u8fdb\u884c\u6cbb\u7597\u7684 T2D \u5e76 CKD \u60a3\u8005\uff0c\u63a8\u8350\u4f7f\u7528\u957f\u6548 GLP-1 RA \u4f5c\u4e3a\u6cbb\u7597\u9009\u9879\uff081B\uff09\u3002<\/p>\n<p>6<\/p>\n<p>\u5e76\u53d1\u75c7\u7ba1\u7406<\/p>\n<p>\u65b0\u7248\u6307\u5357\u5bf9\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd2\u3001\u9ad8\u94be\u8840\u75c7\u3001\u8d2b\u8840\u3001CKD-MBD\u3001\u9ad8\u5c3f\u9178\u8840\u75c7\u3001\u5fc3\u8840\u7ba1\u75be\u75c5\uff08CVD\uff09\u5fc3\u623f\u98a4\u52a8\u7b49\u5e76\u53d1\u75c7\u7684\u6cbb\u7597\u4e5f\u7ed9\u51fa\u4e86\u610f\u89c1\u3002<\/p>\n<p>\u56db<\/p>\n<p>CKD \u4e2d\u7684\u836f\u54c1\u7ba1\u7406\u4e0e\u836f\u7269\u76d1\u7ba1<\/p>\n<p>1<\/p>\n<p>\u836f\u7269\u7684\u9009\u62e9\u548c\u5b89\u5168\u6027\u76d1\u6d4b<\/p>\n<p>\u2460 CKD \u60a3\u8005\u53ef\u80fd\u66f4\u5bb9\u6613\u53d7\u5230\u836f\u7269\u7684\u80be\u6bd2\u6027\u4f5c\u7528\u7684\u5f71\u54cd\uff0c\u5f53\u7ed9 CKD \u60a3\u8005\u5f00\u6b64\u7c7b\u836f\u7269\uff0c\u8981\u8003\u8651\u5176\u76ca\u5904\u548c\u6f5c\u5728\u5371\u5bb3\u3002<\/p>\n<p>\u2461 \u5728\u95e8\u8bca\u548c\u4f4f\u9662\u65f6\uff0c\u5728\u6709\u6307\u5f81\u7684\u60c5\u51b5\u4e0b\uff0c\u76d1\u6d4b\u63a5\u53d7\u6cbb\u7597\u7a97\u53e3\u72ed\u7a84\u3001\u5177\u6709\u6f5c\u5728\u4e0d\u826f\u53cd\u5e94\u6216\u80be\u6bd2\u6027\u7684\u836f\u7269\u7684 CKD \u60a3\u8005\u7684 eGFR\u3001\u7535\u89e3\u8d28\u548c\u6cbb\u7597\u836f\u7269\u6c34\u5e73\u3002<\/p>\n<p>\u2462 \u5ba1\u67e5\u5e76\u9650\u5236\u53ef\u80fd\u5bf9 CKD \u60a3\u8005\u6709\u5bb3\u7684\u975e\u5904\u65b9\u836f\u548c\u996e\u98df\uff0c\u6216\u8349\u836f\u7684\u4f7f\u7528\u3002<\/p>\n<p>\u2463 \u5728\u7ed9\u5177\u6709\u751f\u80b2\u6f5c\u529b\u7684 CKD \u60a3\u8005\u5f00\u836f\u7269\u5904\u65b9\u65f6\uff0c\u4e00\u5b9a\u8981\u6839\u636e\u60a3\u8005\u7684\u5b9e\u9645\u60c5\u51b5\uff08\u4e3b\u89c2\u610f\u613f\u548c\u504f\u597d\uff09\uff0c\u6392\u67e5\u81f4\u7578\u98ce\u9669\uff0c\u5e76\u5b9a\u671f\u63d0\u4f9b\u751f\u6b96\u548c\u907f\u5b55\u54a8\u8be2\u3002<\/p>\n<p>2<\/p>\n<p>\u6309 GFR \u6c34\u5e73\u8c03\u6574\u5242\u91cf<\/p>\n<p>\u2460 \u5bf9\u4e8e CKD \u60a3\u8005\uff0c\u5728\u7ed9\u836f\u65f6\u9700\u8003\u8651 eGFR \u6c34\u5e73\u3002<\/p>\n<p>\u2461 \u5bf9\u4e8e\u5927\u591a\u6570\u4eba\u548c\u4e34\u5e8a\u73af\u5883\uff0c\u4f7f\u7528\u8840\u808c\u9150\u9a8c\u8bc1\u7684 eGFR \u65b9\u7a0b\u9002\u7528\u4e8e\u8c03\u6574\u836f\u7269\u5242\u91cf\u3002<\/p>\n<p>\u2462 \u5982\u679c\u836f\u7269\u5242\u91cf\u8981\u6c42\u51c6\u786e [\uff08\u5982\u7531\u4e8e\u6cbb\u7597\u8303\u56f4\u6216\u6bd2\u6027\u8303\u56f4\u7a84\uff09\u548c\/\u6216\u4f30\u8ba1\u53ef\u80fd\u4e0d\u53ef\u9760\uff09]\uff0c\u53ef\u4ee5\u4f7f\u7528\u808c\u9150\u548c\u80f1\u6291\u7d20 C \u7ed3\u5408\u7684\u65b9\u7a0b\u5f0f\u6216\u6d4b\u91cf\u7684 GFR\u3002<\/p>\n<p>\u2463 \u5bf9\u4e8e\u4f53\u91cd\u8d85\u6807\u7684\u60a3\u8005\uff0c\u53ef\u80fd\u9700\u8981\u8003\u8651\u672a\u8c03\u6574\u4f53\u8868\u9762\u79ef\u7684 eGFR\uff0c\u7279\u522b\u662f\u5bf9\u4e8e\u6cbb\u7597\u8303\u56f4\u7a84\u6216\u9700\u8981\u6700\u4f4e\u6d53\u5ea6\u624d\u80fd\u6709\u6548\u7684\u836f\u7269\u3002<\/p>\n<p>\u2464 \u5bf9\u4e8e\u4f53\u79ef\u5206\u5e03\u3001GFR\/\u975e GFR \u6ee4\u8fc7\u6807\u5fd7\u7269\u5904\u4e8e\u4e0d\u7a33\u5b9a\u72b6\u6001\u7684\u60a3\u8005\uff0c\u9700\u8981\u8003\u8651\u8c03\u6574\u836f\u7269\u5242\u91cf\u3002<\/p>\n<p>3<\/p>\n<p>\u836f\u7269\u7684\u76f8\u4e92\u4f5c\u7528\u548c\u836f\u7269\u7ba1\u7406<\/p>\n<p>\u2460 \u5b9a\u671f\u8fdb\u884c\u5f7b\u5e95\u7684\u836f\u7269\u5ba1\u67e5\uff0c\u4ee5\u8bc4\u4f30\u4f9d\u4ece\u6027\u3001\u9002\u5e94\u75c7\u548c\u6f5c\u5728\u7684\u836f\u7269\u76f8\u4e92\u4f5c\u7528\uff0c\u56e0\u4e3a CKD \u60a3\u8005\u901a\u5e38\u6709\u590d\u6742\u7684\u836f\u7269\u6cbb\u7597\u65b9\u6848\uff0c\u5e76\u7531\u591a\u540d\u4e13\u5bb6\u8bca\u6cbb\u3002<\/p>\n<p>\u2461 \u5982\u679c\u5728\u6025\u6027\u671f\u505c\u7528\u836f\u7269\uff0c\u5e94\u4e0e\u53d7\u5f71\u54cd\u7684\u60a3\u8005\u548c\u533b\u7597\u670d\u52a1\u63d0\u4f9b\u8005\u6c9f\u901a\uff0c\u5e76\u8bf4\u660e\u4f55\u65f6\u91cd\u65b0\u5f00\u59cb\u7528\u836f\uff0c\u5e76\u786e\u4fdd\u5728\u533b\u7597\u6587\u4ef6\u4e2d\u8bb0\u5f55\uff08\u56fe 3\uff09\u3002<\/p>\n<p>\u2462 \u62e9\u671f\u624b\u672f\u524d 48\uff5e72 h \u6216\u6025\u6027\u4e0d\u826f\u53cd\u5e94\u5904\u7406\u671f\u95f4\u53ef\u4ee5\u8003\u8651\u505c\u7528\u836f\u7269\uff08\u5982\u4e8c\u7532\u53cc\u80cd\u3001ACEi\u3001ARB \u548c SGLT2i \u7b49\uff09\uff0c\u4f5c\u4e3a\u9884\u9632\u5e76\u53d1\u75c7\u7684\u9884\u9632\u63aa\u65bd\u3002\u4f46\u662f\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u5728\u4e8b\u4ef6\u6216\u624b\u672f\u540e\u5982\u672a\u80fd\u91cd\u65b0\u5f00\u59cb\u4f7f\u7528\u8fd9\u4e9b\u836f\u7269\u53ef\u80fd\u4f1a\u5bfc\u81f4\u65e0\u610f\u7684\u4f24\u5bb3\u3002<\/p>\n<\/p>\n<p>\u56fe 3 \u57fa\u672c\u6267\u884c\u6b65\u9aa4<\/p>\n<p>4<\/p>\n<p>\u5f71\u50cf\u5b66\u68c0\u67e5<\/p>\n<p>\u6839\u636e\u4e00\u822c\u4eba\u7fa4\u9002\u5e94\u75c7\u8003\u8651\u5f71\u50cf\u5b66\u68c0\u67e5\u7684\u9002\u5e94\u75c7\u3002\u5f71\u50cf\u5b66\u68c0\u67e5\u7684\u98ce\u9669\u548c\u83b7\u76ca\u5e94\u6839\u636e CKD \u4e2a\u4f53\u60c5\u51b5\u786e\u5b9a\u3002<\/p>\n<ul>\n<li>\n<p>\u653e\u5c04\u9020\u5f71\u5242<\/p>\n<\/li>\n<\/ul>\n<p>\u2460 \u4f7f\u7528\u7ecf\u8fc7\u9a8c\u8bc1\u7684\u5de5\u5177\uff0c\u8bc4\u4f30\u63a5\u53d7\u8fdb\u884c\u5fc3\u810f\u624b\u672f\u52a8\u8109\u5185\u9020\u5f71\u5242\u7684 CKD \u60a3\u8005\u53d1\u751f\u6025\u6027\u80be\u635f\u4f24\u7684\u98ce\u9669\u3002<\/p>\n<p>\u2461 \u5bf9\u4e8e\u6025\u6027\u80be\u635f\u4f24\u6216 GFR &lt;60 mL\/min\/1.73m<sup>2<\/sup>\uff08CKD G3a-G5\uff09\u63a5\u53d7\u62e9\u671f\u68c0\u67e5\u7684\u60a3\u8005\uff0c\u653e\u5c04\u9020\u5f71\u5242\u7684\u9759\u8109\u6ce8\u5c04\u53ef\u4ee5\u6309\u7167\u653e\u5c04\u5b66\u4f1a\u7684\u5171\u8bc6\u58f0\u660e\u8fdb\u884c\u7ba1\u7406\u3002<\/p>\n<ul>\n<li>\n<p>\u542b\u9486\u9020\u5f71\u5242<\/p>\n<\/li>\n<\/ul>\n<p>\u5bf9\u4e8e GFR &lt;30 mL\/min \/ 1.73m<sup>2<\/sup>\uff08CKD G4-G5\uff09\u4e14\u9700\u8981\u4f7f\u7528\u542b\u9486\u9020\u5f71\u5242\u7684 CKD \u60a3\u8005\uff0c\u4f18\u5148\u4f7f\u7528\u7f8e\u56fd\u653e\u5c04\u5b66\u4f1a\u63a8\u8350\u7684 II \u7ec4\u548c III \u7ec4\u542b\u9486\u9020\u5f71\u5242\u3002<\/p>\n<p>\u4e94<\/p>\n<p>CKD \u6700\u4f73\u7ba1\u7406\u6a21\u5f0f<\/p>\n<p>\u5982\u60a3\u8005\u51fa\u73b0\u4ee5\u4e0b\u60c5\u51b5\uff0c\u5e94\u5efa\u8bae\u8f6c\u8bca\u81f3\u80be\u810f\u4e13\u79d1\u62a4\u7406\u673a\u6784\uff1a<\/p>\n<p>\u56fe 4 \u9700\u8981\u8f6c\u8bca\u5230\u80be\u810f\u4e13\u79d1\u7684\u60c5\u51b5\u548c\u8f6c\u8bca\u7684\u76ee\u6807<\/p>\n<p>CKD \u60a3\u8005\u5e38\u89c1\u75c7\u72b6\u7684\u7ba1\u7406\u5b9e\u8df5\u8981\u70b9\uff1a\u2460 \u91c7\u7528\u5faa\u8bc1\u7ba1\u7406\u7b56\u7565\uff0c\u652f\u6301 CKD \u60a3\u8005\u751f\u6d3b\u826f\u597d\uff0c\u5e76\u6539\u5584\u5176\u4e0e\u5065\u5eb7\u76f8\u5173\u7684\u751f\u6d3b\u8d28\u91cf\u3002\u2461 \u4f7f\u7528\u6709\u6548\u7684\u8bc4\u4f30\u5de5\u5177\u5bf9 CKDG4-G5\u3001&gt;65 \u5c81\u3001\u751f\u957f\u4e0d\u826f\uff08\u513f\u79d1\uff09\u3001\u8870\u5f31\u6216\u98df\u6b32\u4e0d\u826f\u7684\u60a3\u8005\u8fdb\u884c\u7b5b\u67e5\u3002\u2462 \u80fd\u591f\u4e3a\u6709\u8425\u517b\u4e0d\u826f\u8ff9\u8c61\u7684\u4eba\u63d0\u4f9b\u9002\u5f53\u7684\u533b\u7597\u8425\u517b\u6cbb\u7597\uff0c\u5982\u679c\u6ca1\u6709\u75c7\u72b6\uff0c\u6700\u597d\u5728\u8425\u517b\u5e08\u6216\u8ba4\u53ef\u7684\u8425\u517b\u63d0\u4f9b\u8005\u7684\u76d1\u7763\u4e0b\u8fdb\u884c\u3002<\/p>\n<p>\u8fdb\u5165\u900f\u6790\u7684\u65f6\u673a\uff1a\u2460 \u6839\u636e\u5bf9\u4e00\u4e2a\u4eba\u7684\u75c7\u72b6\u3001\u4f53\u5f81\u3001\u751f\u6d3b\u8d28\u91cf\u3001\u504f\u597d\u3001GFR \u6c34\u5e73\u548c\u5b9e\u9a8c\u5ba4\u5f02\u5e38\u7684\u7efc\u5408\u8bc4\u4f30\uff0c\u5f00\u59cb\u900f\u6790\u3002\u2461 \u5982\u679c\u660e\u663e\u5b58\u5728\u4ee5\u4e0b\u4e00\u79cd\u6216\u591a\u79cd\u60c5\u51b5\uff08\u89c1\u4e0b\u8868\uff09\uff0c\u5219\u5f00\u59cb\u900f\u6790\u3002<\/p>\n<p>\u8868 4 \u5f00\u59cb\u900f\u6790\u7684\u9002\u5e94\u75c7<\/p>\n<p>\u7279\u522b\u8bf4\u660e | \u672c\u6587\u4ec5\u4f9b\u533b\u7597\u536b\u751f\u7b49\u4e13\u4e1a\u4eba\u58eb\u53c2\u8003<\/p>\n<p>\u7b56\u5212 | TAT<\/p>\n<p>\u6295\u7a3f | huangwendi@dxy.cn<\/p>\n<p>\u914d\u56fe | \u53c2\u8003\u6587\u732e<\/p>\n<p>\u9898\u56fe | \u53c2\u8003\u6587\u732e<\/p>\n<p>\u53c2\u8003\u6587\u732e<\/p>\n<p>Stevens P E, Ahmed S B, Carrero J J, et al. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease[J]. Kidney international, 2024, 105(4): S117-S314.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2024 \u5e74 3 \u6708 13 \u65e5\uff0c\u6539\u5584\u5168\u7403\u80be\u810f\u75c5\u9884\u540e\u7ec4\u7ec7\uff08KDIGO\uff09\u66f4\u65b0\u53d1\u5e03\u4e86\u6162 &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=31197\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-31197","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/31197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31197"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/31197\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31197"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31197"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}