基层医生慢性肾脏病管理中最常见的问题及专家建议

Key points and recommendations in management of chronic kidney disease for primary health-care providers

为提高西部地区基层医生慢性肾脏病的管理水平,经过调查和专家组讨论,筛选出10个基层医生在成人慢性肾脏病管理过程中最关心的问题,参考相关指南,制订了专家建议。该建议包括慢性肾脏病的筛查、早期临床症状和体征、诊断、管理、肾脏替代治疗的时机和患者教育等内容。该建议有助于提升基层医生慢性肾脏管理能力,有利于真正实施分级诊疗,使更多慢性肾脏病患者获益。

In order to improve management of chronic kidney disease(CKD)for primary health-care providers in Western China,10 key points were selected from a previous survey.Then the expert group formulated relevant recommendations followed the latest guidelines and clinical evidences.These recommendations cover CKD screening,early clinical symptoms and signs,assessment,management,timing of renal replacement therapy and patient education.It would improve quality and efficiency of CKD management for primary health-care providers,and CKD patients would benefit from these recommendations.