如何延缓慢性肾脏病进展概要1.ppt

如何延缓慢性肾脏病进展 吴国伟 开化县中医院肾内科 K/DOQI对慢性肾脏病的分期 GFR的计算方法 内生肌酐清除率 Cockcroft-Gault 方程 MDRD方程 Cockcroft-Gault方程 根据分期制定临床行动方案 Identify risk factorsStudy the progressionDefine Effective Treatment 危险因素筛查 In the search for risk factors Retrospective (case control) studies are simpler to conduct but subject to bias (confounding) Prospective cohort studies greater precision but difficult unless the disease is prevalent Effective treatments exist for all these conditions Reduction of BP in kidney disease reduces rate of loss of kidney function by 50% ACEi in kidney disease adds another 40% reduction Fall in