糖尿病相關腎疾病定義及診斷之更新

Update in the Definition and Diagnosis of Diabetic Kidney Disease

紀竣議(Chun-Yi Chi) ； 李思穎(Szu-Ying Lee) ； 楊紹佑(Shao-Yu Yang)

《腎臟與透析》 30卷3期 (2018/09) Pp. 114-117

https://doi.org/10.6340/KD.201809_30(3).0003

摘要

糖尿病相關腎疾病，是造成慢性腎臟病及末期腎疾病最主要原因之一。糖尿病相關腎疾病為以持續性白蛋白尿、腎絲球過濾率下降、血壓升高和增加心血管併發症引起之發病率及死亡率為特徵之症候群。每年應定期接受糖尿病腎病變篩檢，包括隨機測量尿液白蛋白和肌酸酐之比值和估算腎絲球過濾率。對於有疑慮的個案，可考慮腎臟切片來排除其他病因。

關鍵字

糖尿病 ； 慢性腎臟病 ； 糖尿病相關腎疾病 ； 糖尿病腎病變

並列摘要

Diabetic kidney disease is the leading cause of chronic kidney disease and end-stage renal disease. This clinical syndrome is characteristic of persistent albuminuria, a relentless decline in glomerular filtration rate (GFR), raised arterial blood pressure, and enhanced cardiovascular morbidity and mortality. Diabetic kidney disease screening should be performed annually, including urinary albumin-to-creatinine ratio and estimated GFR. Kidney biopsy is reserved for atypical presentations.

並列關鍵字

diabetes mellitus ； chronic kidney disease ； diabetic kidney disease ； diabetic nephropathy