糖尿病肾脏病诊治专家共识

2020-02-04 中华医学杂志,2020,100(4):247-260.

糖尿病肾脏病(DKD)是糖尿病患者的常见慢性并发症之一,是指由糖尿病引起的慢性肾脏病(CKD),表现为尿蛋白水平升高(尿白蛋白肌酐比值≥30 mg/g)和(或)估算肾小球滤过率(eGFR)&lt

中文标题:

糖尿病肾脏病诊治专家共识

发布机构:

发布日期:

2020-02-04

简要介绍:

糖尿病肾脏病(DKD)是糖尿病患者的常见慢性并发症之一,是指由糖尿病引起的慢性肾脏病(CKD),表现为尿蛋白水平升高(尿白蛋白肌酐比值≥30 mg/g)和(或)估算肾小球滤过率(eGFR)<60 ml·min-1·(1.73 m2-1并持续超过3个月,同时排除其他病因CKD而作出的临床诊断。欧美国家大样本糖尿病队列研究报道20%~40%的糖尿病患者可发展为DKD。我国缺乏全国代表性糖尿病队列,一些区域性研究报道的DKD患病率和欧美国家类似。在全球范围内,DKD是CKD[包括终末期肾脏病(ESKD)]的首要病因,亦是糖尿病患者发生心血管疾病和早发死亡的重要危险因素。

 

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