中医治疗血液透析中糖尿病肾病患者疗效评价标准的研究进展
Research progress on therapeutic evaluation criteria of diabetic nephropathy in hemodialysis patients treated with traditional Chinese medicine
strong>目的:</strong>糖尿病肾病是糖尿病最常见、最严重的微血管并发症,已成为发达国家和地区终末期肾病首要病因,评估中医药诊治疗效有助于症状的联合管理。<strong>方法:</strong>该文综述了中医治疗血液透析中糖尿病肾病患者临床疗效评价方法的内容、特点及应用情况。<strong>结果:</strong>疗效评价标准可归纳为以患者自觉病情好转为疗效评价标准、以医生判断病情好转为疗效评价标准和自拟疗效评价标准三种。<strong>局限:</strong>由于部分评估工具开发时间较晚,其应用效果有待进一步研究。<strong>结论:</strong>建议根据现有普适性工具的特点并结合糖尿病肾病血液透析患者疾病特点,开发适合糖尿病肾病血液透析患者的特异性中医疗效评价工具,为通过有效管理提升中医治疗糖尿病肾病提供依据。
strong> Objective </strong> Diabetic nephropathy is the most common and serious microvascular complication of diabetes and has become the primary cause of end-stage renal disease in developed countries and regions. Assessment of the efficacy of diagnosis and treatment of traditional Chinese medicine is conducive to the joint management of the symptoms.<strong> Methods </strong> This paper reviews the content, characteristics, and application of traditional Chinese medicine evaluation methods for the clinical efficacy of patients with diabetic nephropathy on hemodialysis.<strong> Results </strong> Efficacy evaluation criteria can be summarized as follows: patients' conscious improvement is taken as the efficacy evaluation criteria; doctors' judgment on improvement is taken as the efficacy evaluation criteria; and self-made efficacy evaluation criteria.<strong> Limitations </strong>Due to the late development of some evaluation tools, their application effects need further study.<strong> Conclusion </strong> It was suggested that according to the characteristics of the existing universal tools and in combination with the disease characteristics of patients with diabetic nephropathy on hemodialysis, a specific efficacy evaluation tool for patients with diabetic nephropathy on hemodialysis be developed to provide the basis for improving the treatment of diabetic nephropathy by effective management.
中医学医学研究方法内科学
中医药糖尿病肾病疗效评价标准血液透析综述
raditional Chinese MedicineDiabetic NephropathyEfficacy Evaluation CriteriaHemodialysisReview
.中医治疗血液透析中糖尿病肾病患者疗效评价标准的研究进展[EB/OL].(2022-07-30)[2025-08-16].https://chinaxiv.org/abs/202207.00217.点此复制
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