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李建民教授治疗慢性肾脏病合并高尿酸血症的临证经验

Chinese Journal of Integrated Traditional and Western Nephrology(2020)

Cited 1|Views32
Abstract
慢性肾脏病( chronic kidney disease,CKD)是指肾脏损伤(肾脏结构或功能异常)≥3个月,且这种损伤对健康有影响[1] .高尿酸血症( hyperuricemia,HUA)是嘌呤代谢异常所引起的一种代谢性疾病.在正常嘌呤饮食状态下,男性血尿酸水平>420 μmol/L,女性>357 μmol/L即可确诊[2] .尿酸主要通过肾脏排泄,肾脏疾病是HUA发生的重要病因,多种肾脏疾病常合并HUA,如糖尿病肾病、IgA肾病、膜性肾病.有关研究表明[3~5] ,血尿酸长期不达标使肾脏疾病发生发展的风险明显提高,因此HUA作为肾脏受损的标志之一,它既是新发CKD的独立危险因素,也是慢性肾衰竭发生的强有力的预测因素.并且CKD和HUA共同加剧了心血管疾病死亡风险的发生,故临床对CKD患者血尿酸水平的合理重视,对延缓CKD进入终末期和心血管死亡事件的发生起着关键作用.
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