糖尿病肾病诊断及治疗规范

[](,210002)(DN),,,,,,,DN,,DN,(GFR),(30300mg/24h),,,(GBM),300mg/24h()015g/24h,GFR,,,,,,GBM,[Kimmel2stiel2Wilson(K2W)],,,;,;,DN::,GBM:,K2W,,,,,,,,(FBG,PBG)(HbA1c),NAG(Ccr)BBECT,GFR,(BMI),,PAS,,,,810nm,GBM,,K2W,,;364135200410,,,,,,,(FSGS),,DNDN()(HbA1c)6%7%[SCr17618mol/L(2.0mg/dl),,7%8%)](FBG)6166mmol/L(120mg/dl)[SCr176.8mol/L(210mg/dl),7.77mmol/L(140mg/dl)](PBG)7177mmol/L(140mg/dl)[SCr176.8mol/L(210mg/dl),8.88mmol/L(160mg/dl)](LDL)216mmol/L(100mg/dl)(HDL)1117mmol/L(45mg/dl)(Ch)216mmol/L(100mg/dl)(TG)2126mmol/L(200mg/dl)(BMI)28kg/m2,(BMI28kg/m2),()()()(BMI28kg/m2),(),,10,,012U/kg,3,24UFBG41446166mmol/L(80120mg/dl)(),,,,BMI28kg/m2,Ch216mmol/L(100mg/dl),TG2126mmol/L(200mg/dl);LDL2126mmol/L(100mg/dl),HDL1117mmol/L(45mg/dl):,,120/75mmHg,,130/80mmHg,(ARB)(ACEI),ACEIARB,ACEI,,,,;:,ACEI/ARB,(,NSAIDs,)DN018g/(kgd)016(g/kgd)+35/(kgd)500700mg/d4001200mg/d23L/d8001200mg/dDNDN,HbA1c6%7%,FBG41446166mmol/L(80120mg/dl),PBG51557177mmol/L(100140mg/dl)120/80mmHg,ACEIARBACEIARB,:DN,,HbA1c6%464JNephrolDialyTransplantVol.13No.5Oct.20047%,FBG41446166mmol/L(80120mg/dl),PBG51557177mmol/L(100140mg/dl),130/80mmHg,ARBACEI+ARB,310g/d,(40mg3/d8,20mg3/d),:DN,HbA1c7%8%,FBG4144717mmol/L(80140mg/dl),PBG51558188mmol/L(100160mg/dl)SCr26512mol/L(3mg/dl)ACEIARB(),130/80mmHg,::SCr35316442mol/L(45mg/dl),SCr5401370212mol/L(68mg/dl)DN:,,,,:,,CTMRI():,,,,,Hb120g/L,6,36,()[]2004209215()10,,1.(physician-scientist);2.1.,2.,10;150;80CRRT,1201503.,4.,5.,6.,1.;2.;3.;4.;5.;6.(100201)(071003):,210008,:025-83593192(:305,:210002,:025-80860218,E-mail:[e-mail])564135200410