糖尿病肾病新认识与防治课件.pptVIP

美国NIH肾病饮食治疗研究 MDRD Study In Patients with GFR 25ml/min: LPD可使CRF进展减慢10％ The MDRD and other studies suggest a moderate benefit (~ 10% reduction in rate of progression). Decisions about dietary therapy should depend largely on choice by informed patients. In Patients with GFR 25ml/min: LPD降低0.2g/kg/d可使CRF进展减慢29％ There is a strong evidence from orrelational analysis for a benefit from reduction of dietary protein (~ 29% reduction of the rate of progression for each reduction of protein by 0.2 g/kg/day). 423例非糖尿病肾病: 血压与生存率关系 100 100-110 110 可能生存率 （%） 5 控制血压对慢性肾病患者GFR的影响 0 -2 -4 -6 -8