儿童肾脏病早期发现的策略探讨

Study on the strategy for early detection of kidney diseases in children

慢性肾脏病是全球性公共卫生问题。儿童肾脏病是儿童常见病,起病常隐匿,部分可逐渐进展至慢性肾脏病;肾脏病患儿也是成人慢性肾脏病和终末期肾病的高危人群。早期治疗可防治和(或)延缓慢性肾脏病的发生和进展,早期发现可能成为具有高成本-效益的解决方案。因此,迫切需要共同探讨适宜的儿童肾脏病早期发现策略,提高儿童肾脏病患儿的健康,改善慢性肾脏病预后。

Chronic kidney disease （CKD） is a global public health problem. Kidney diseases are common in children, most occurring insidiously, while some may progress to CKD in childhood period ; the children suffering from kidney dis- eases are also high-risk groups of adult CKD and end-stage renal disease （ESRD）. Early treatment could prevent and/or delay the occurrence and progress of CKD, so early detection may be a cost-effective solution. It is urgent to explore appropriate strategies for early detection of childhood kidney disease in order to improve the health of children with kidney disease and the prognosis of CKD.