慢性肾衰竭开始透析时机选择的争议和中医优势探讨

Dispute of Beginning Dialysis Timing Choice and Traditional Chinese Medicine Advantage in Patients with Chronic Renal Failure

笔者根据目前多个国家或地区如中国(包括台湾)、英国、欧洲、美国、日本等对慢性肾衰竭开始透析治疗时机建议上的差异,分析当前过早或过迟透析的不利之处,同时结合中医治疗慢性肾衰竭的优势,并评估其在治疗中的地位。结果认为中医治疗慢性肾衰竭可以延缓其进入透析的时间,但仍需要高级别的临床研究证据。

In this review,according to the existing guidelines from several countries such as China,England, Europe, America, Japan and so on ,which evaluated the timing of dialysis treatment ,we analyzed the disadvantages of starting with relatively higher or lower renal function and evaluated the status of traditional Chinese medicine to cure chronic renal failure for its advantages. There were some disputes on early versus late initiation of dialysis. It was concluded that initiation of dialysis should not depend on a predefined magnitude of renal function,but it should be tailored to the individual patient. Traditional Chinese medicine may benefit on quality of life for patients and slowing the time to initiate dialysis. However, this therapy need more high-grade evidences of clinical studies.