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慢性肾病、慢性肾功能衰竭全方位审视
引用本文:卢君健,夏宏道.慢性肾病、慢性肾功能衰竭全方位审视[J].医学与哲学,2009(12):4-8.
作者姓名:卢君健  夏宏道
作者单位:[1]苏州大学附属第一医院中西医结合科,江苏苏州215006 [2]总参管理保障部医院,北京100083
摘    要:慢性肾病(CKD)、慢性肾功能衰竭(CRF)是全身性疾病在肾脏的表现、特别与血管性免疫性和代谢性疾病相关。肾脏又是一个排泄器官,中西药的过度应用,尤其是具有毒性药物如雷公藤类、抗生素类累积性损伤肾脏。所以,根本性控制在于预防和少用药物。近年来因为应用了肾替代疗法、包括肾移植带来一些社会、经济、生活质量、移植肾来源等问题。本文以全新的理念提出质疑且对其共性治疗重新评估替代疗法,并重视个案分析对某些肾病的病名提出它的概念的非合理性,对其共性治疗的误导应予以反思。最后,建议逐步改变单纯生物医学模式的替代疗法,重视整体全方位地发挥自身潜在调节力量缓解或治愈或延长寿命,这样可以大大地减少CKD、CRF、ESRD的发病率。

关 键 词:慢性肾病  慢性肾功能衰竭  替代疗法

Full Review of Chronic Kidney Disease and Chronic Renal Failure
LU Jun-jian,XIA Hong-dao.Full Review of Chronic Kidney Disease and Chronic Renal Failure[J].Medicine & Philosophy:Humanistic & Social Medicine Edition,2009(12):4-8.
Authors:LU Jun-jian  XIA Hong-dao
Institution:( The First Affiliated Hospital of Suzhou University ,Suzhou 215006 ,China)
Abstract:Chronic kidney disease(CKD),chronic renal failure (CRF)is the whole body disease feature of kidney ,especially relative to the blood vessel disease, Immuno disease and metabolic disease. Kidney is a excretory organ, overtreatment of traditional and western medicine especially toxic drugs of kidney such as Tripteryyium wilfordii Hook. f. and antibiotics etc may be injury kidney. Prevention of CKD and CRF is very important including controrl the risk factors such as virus infection, drugs, hypertension, hyperlipidemia diabetic millitus and hyperuricemia stress etc. Today treat CKD-- CRF-- ESRD enthusiastic is renal replace therapy including kidney transplantation, above mentioned state induce global problem include society, economy, psychology life quality and the transplanted kidney source etc. The transplant therapy is a simple biological medicine is a simple biologic treat method,i.t is a suboptimiazed therapy. At last ,suggest reducing this replace therapy method gradually and pay attention to entirety medicine.
Keywords:chronic kidney disease  chronic renal failure  replace therapy
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