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非奈利酮治疗2型糖尿病肾病的研究进展

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糖尿病肾病(diabetic kidney disease,DKD)是糖尿病微血管并发症之一,是一种以持续蛋白尿和肾小球滤过功能进行性下降为特征的疾病,也是慢性肾脏疾病(chronic kidney disease,CKD)最常见的病因。其发生率高且预后不良,现阶段临床治疗方案能够一定程度改善蛋白尿,延缓疾病的进展,但仍然有很大的残余风险,对降低终末期肾病(ERSD)及心血管疾病(CVD)风险仍有很大的距离。非奈利酮是一种新型非甾体盐皮质激素,与传统的盐皮质受体拮抗剂相比,拥有更高的选择性和安全性,能够降低肾脏不良事件风险。本文对非奈利酮治疗2型糖尿病肾病的作用机制、有效性、安全性进行多角度综述,旨在为DKD的治疗提供新思路及证据支持。
Research progress of finelidone in treatment of type 2 diabetic nephropathy
Diabetic kidney disease(DKD)is one of the complications of diabetic microangiopathemia,which is characterized by proteinuria and decreased glomerular filtration function.It is also the most common cause of chronic kidney disease(CKD).Its incidence is high and the prognosis is poor.The current clinical treatment regimen can improve proteinuria to a certain extent and delay the progression of the disease,but there is still a large residual risk,and there is still a long distance to reduce the risk of ERSD and CVD.Finelidone is a new type of nonsteroidal salt corticosteroid,which has higher selectivity and safety compared with traditional salt corticoreceptor antagonists,and can reduce the risk of renal adverse events.This article reviews the mechanism of action,effectiveness and safety of finelidone in the treatment of type 2 diabetic nephropathy from multiple perspectives,aiming to provide new ideas and evidence support for the treatment of DKD.

finelidonediabetic nephropathysalt corticosteroid receptor antagonist

高鹤齐、孙昕昳

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北华大学附属医院,吉林 吉林 132000

非奈利酮 糖尿病肾病 盐皮质激素受体拮抗剂

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)