重视老年慢性肾脏病的诊治与预防

Prevention,diagnosis,and treatment of kidney diseases in the elderly: current status and perspectives

老年人是慢性肾脏病(CKD)的高危人群,并且老年人已成为新透析的主要人群,因此老年人是中国今后CKD防治的重点。目前老年CKD的诊治还存在不少问题:老年CKD诊断标准尚未统一;老年CKD并发症的治疗靶目标值也未确定;老年非透析CKD的临床防治策略制定相对复杂;老年终末期肾脏疾病(ESRD)的治疗手段需要综合权衡。因此,治疗方案需要多方人员参与、综合权衡制定。老年CKD的防治,要特别强调以病人为中心、而非以疾病为导向的个体化综合管理。

The elderly are at high risk of chronic kidney disease,who has become a major population in the newly admission to dialysis treatment. So the elderly will be the focus of CKD prevention task in future. At present,challenges still remain in the diagnosis and treatment of CKD in the elderly： there is no unified criteria for CKD diagnosis in the elderly,un-settled treatment target of CKD complications in the elderly; complicated theraputic strategies in the elderly ESRD patients. We particularly stress the importance of patient-centered,instead of disease-oriented,individualized treatment in the prevention and treatment of CKD in the elderly.