文档介绍：第 14卷第 2期中医药导报 2008年 2月
Vol. 14 No. 2 Guiding Journal of TCM February. 2008
中医药治疗糖尿病肾病的研究进展
邵晓丽,指导:余江毅
(南京中医药大学硕士研究生,江苏南京 210000)
[摘要] 阐述了糖尿病肾病的病名,从中医的角度总结了其病因病机,并从辨证论治、单方治疗、中西医结合等方面对糖
尿病肾病的中西医临床研究进展进行了综述。
[关键词] 糖尿病肾病;病因病机;中医药治疗
[中图分类号]R255. 4; R256. 51 [文献标识码]A [文章编号]1672 - 951X (2008) 02 - 0083 - 02
Progress in the Trea tm en t of D iabetic Nephro
SHAO X iao - li, D irector: YU J iang - yi
M aster of N anjing University of Traditional Chinese M edicine, N anjing, China, 210000
[Abstract] The paper exp lained the name of diabetic nephropathy(DN) , and summarized its etiological factors and pathogenesis
from the aspect of traditional Chinese medicine ( TCM ). Clinical study p rogress that DN was treated by TCM or western medicine was
made a summarization from treatment based on syndrome differentiation, treatment with single recipe, combination of TCM and western
medicine.
[ Key words] D iabetic nephropathy; Etiological factors and pathogenesis; Treatment with TCM
糖尿病肾病(D iabetic Nephropathics, DN)是糖尿病最常气阴两虚为本病的病理基础,瘀血内阻为主要病理机制。于
见的并发症,属糖尿病微血管病变。其发病率在 1型糖尿病艳秋[ 3 ]认为脾肾亏虚脉络淤阻是糖尿病肾病的主要病机。
中为 40% ~50% , 2型糖尿病中约为 20%。常至终末期肾魏连琴等[4 ]认为脾肾亏虚是发病的内在原因,气阴两虚为基
衰,是糖尿病患者的主要死因之一,已成为严重威胁人们生本病机,瘀血阻滞是其必然的病理产物。陈文娟等[ 5 ]认为糖
命健康的疾病。因此,对 DN 的早期诊断并采取有效的干预尿病肾病的病机特点以气阴两虚挟瘀为主,而瘀血始终贯穿
措施具有重要意义。中医药对其有独特的疗效,笔者从中医其中。以肾阴虚为主,涉及肝脾。瘀血在糖尿病肾病中既是
病名,病因病机,中药治疗方面作一综述。病理产物,又是致病因素。