中医药治疗糖尿病肾病的研究进展

A review on treating DN with TCM medicine

糖尿病肾病是糖尿病最常见微血管并发症之一,是引起终末期肾衰竭和糖尿病患者死亡的最常见原因,约30%的糖尿病患者最终发展为糖尿病肾病,因此早期发现和诊治具有重要意义。该研究从病因病机、辨证分型和治法治则等方面论述了近年来中医药诊治糖尿病肾病的发展状况,从不同方面证明中医药治疗糖尿病肾病可显著减少尿蛋白,改善肾脏功能,延缓肾脏衰竭的进程。但各医家观点各异,辨证分型标准不一,缺乏权威分型和疗效判断标准,临床缺少多中心、大样本的研究,样本间尚缺乏可比性。

Diabetic nephropathy is one of the most common microvascular complications of diabetes, and the most common cause of end-stage renal failure and death in diabetic patients. About 30% diabetic patients eventually developed diabetic nephropathy. So the early diagnosis and treatment showed great significance. From the etiology and pathogenesis, syndrome differentiation and rules and so on,a review on treating DN with TCM medicine was discussed. And TCM medicine can significantly reduce urinary protein, improve renal function, delay the process of renal failure. However, because of different views in physicians, different types of syndromes, the lack of authoritative classification and efficacy criteria, and the lack of multi-center large sample studies, the sample is still lack of comparability.