IgA肾病的中西医治疗研究进展

Research progress in the treatment of IgA nephropathy by Chinese and Western medicine

IgA肾病是我国常见的原发性肾小球疾病,具有较高的发病率,其病因及发病机制尚未明确,目前尚无统一的治疗方案。西医治疗IgA肾病临床常选用药物包括肾素-血管紧张素系统阻断剂、糖皮质激素、免疫抑制剂等。中医药治疗IgA肾病在其分期、分型基础上进行个体化辨证施治,并结合个人经验,临床疗效显著。在当今整合医学形势下,应当充分发挥中西医治疗IgA肾病优势并进行结合治疗,本文就IgA肾病的西医治疗和中医药治疗等方面的研究进展进行综述。

IgA nephropathy is a common primary glomerular disease in China,with a high incidence.Its etiology and pathogenesis are not yet clear,and there is no unified treatment plan at present.Drugs commonly used in Western medicine for IgA nephropathy include renin-angiotensin system blockers,glucocorticoids,immunosuppressants and so on.In the treatment of IgA nephropathy,traditional Chinese medicine carries out individualized differentiation of symptoms and signs on the basis of stages and types,and combines with personal experience,the clinical effect is remarkable.In the current situation of integrated medicine,when the advantages of Chinese and Western medicine in the treatment of IgA nephropathy are given full play and combined treatment is carried out.This paper reviews the research progress in the treatment of IgA nephropathy with Western medicine and traditional Chinese medicine.