慢性腎臟病貧血的診斷及治療

Diagnosis and Treatment of Anemia in Patients With Chronic Kidney Disease

李其育(Chi-Yu Lee) ； 葉宏傑(Hung-Chieh Yeh)

《腎臟與透析》 30卷4期 (2018/12) Pp. 196-200

https://doi.org/10.6340/KD.201812_30(4).0007

摘要

貧血是慢性腎臟病患者常見之問題，其中最常見的原因是缺鐵以及紅血球生成素的相對不足。長期貧血也會造成左心室肥大、腎功能惡化和死亡率增加等併發症。適當的使用紅血球生成素以及鐵劑治療可以有效改善慢性腎臟病合併貧血病人的整體生活品質。在治療之前必須排除並治療其他常見的貧血原因，以確保治療效果。

關鍵字

慢性腎臟病 ； 貧血 ； 紅血球生成素

並列摘要

Anemia is frequently encountered among patients with chronic kidney disease (CKD). The most common etiologies are iron deficiency and erythropoietin (EPO) insufficiency. Chronic anemia can result in left ventricular hypertrophy, deteriorating renal function and increased mortality. With appropriate treatment by iron and EPO, anemia in CKD patients could be corrected and the general well-being of the patients would be improved. It is mandatory to rule out other common etiologies of anemia before initiating treatment to ensure the effectiveness of therapy.

並列關鍵字

chronic kidney disease ； anemia ； erythropoietin