世界中医药2024,Vol.19Issue(17) :2688-2695.DOI:10.3969/j.issn.1673-7202.2024.17.024

慢性肾衰中医诊疗标准现状研究述评

Review on the Status of TCM Diagnosis and Treatment Standards for Chronic Renal Failure

纪利梅 李靖 李雪 刘宝利
世界中医药2024,Vol.19Issue(17) :2688-2695.DOI:10.3969/j.issn.1673-7202.2024.17.024

慢性肾衰中医诊疗标准现状研究述评

Review on the Status of TCM Diagnosis and Treatment Standards for Chronic Renal Failure

纪利梅 1李靖 2李雪 2刘宝利3
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作者信息

  • 1. 北京中医药大学东直门医院,北京,100700;北京中医医院顺义医院肾病科,北京,101300
  • 2. 北京中医药大学东直门医院肾病科,北京,100700
  • 3. 首都医科大学附属北京中医医院科研处,北京,100010
  • 折叠

摘要

中医药治疗慢性肾衰具有一定的临床优势,现有的慢性肾衰指南更多的是较为完善的中西医结合指南,虽内容不断充实,但缺少中医药特色.通过对既往发布的慢性肾衰中医和中西医结合行业学会标准进行梳理和分析,发现其中存在局限性,建议完善慢性肾衰的病因病机,规范辨证分型体系,增加证据等级推荐,完善疗效评价及非药物治疗和中医综合治疗标准化流程,增加辨证运动,补充合并症/并发症和慢性肾脏疾病(CKD)5期透析患者的中医药治疗指导,为建立更加完善慢性肾衰中医诊疗标准提供思路.

Abstract

Traditional Chinese Medicine(TCM)demonstrates certain clinical advantages in the treatment of chronic renal failure.Existing guidelines for chronic renal failure are predominantly comprehensive integrated TCM and Western medicine guidelines.While these guidelines have been continuously updated,they still lack distinctive TCM features.Through a review and analysis of previously published TCM and integrated TCM and Western medicine standards for chronic renal failure,certain limitations have been identified.It is recommended to refine the etiology and pathogenesis of chronic renal failure in TCM,standardize syndrome dif-ferentiation and classification systems,increase evidence-based recommendations,improve efficacy evaluation,and establish stand-ardized protocols for non-pharmacological and comprehensive TCM treatments.Furthermore,incorporating syndrome-based exercises and adding TCM guidance for the treatment of comorbidities/complications and dialysis in the final stage(stage 5)of chronic kid-ney disease(CKD)could provide insights for developing more comprehensive TCM diagnostic and treatment standards for chronic renal failure.

关键词

慢性肾脏疾病/慢性肾衰/中医药/中西医结合/指南/诊疗标准/专家共识/标准化

Key words

Chronic kidney disease/Chronic renal failure/Traditional Chinese medicine/Integration of traditional Chinese and Western medicine/Guideline/Diagnosis and treatment criteria/Expert consensus/Standardization

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出版年

2024
世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
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