Amaresan M S, Geetha R
Department of Nephrology, Tamil Nadu Medical Service, Chennai.
J Assoc Physicians India. 2008 Jan;56:41-6.
Chronic kidney disease is associated with increased mortality and morbidity especially due to cardiovascular disease and imposes a huge economic burden to the family and health care delivery system. In both developing and developed countries, diabetes mellitus and hypertension are the leading causes of CKD. While dialysis and transplantation are excellent options for end stage kidney disease, they are costly. Renal transplant is again limited by organ shortage. The better strategy to tackle CKD will be early identification of the disease and adopt measures to slow its progression to ESRD. A comprehensive approach to the prevention of CKD and retarding its progression is outlined.
慢性肾脏病与死亡率和发病率增加相关，尤其是心血管疾病导致的，并给家庭和医疗保健系统带来巨大经济负担。在发展中国家和发达国家，糖尿病和高血压都是慢性肾脏病的主要病因。虽然透析和移植是终末期肾病的理想选择，但成本高昂。肾移植又受到器官短缺的限制。应对慢性肾脏病的更好策略是早期识别该疾病，并采取措施减缓其进展至终末期肾病。本文概述了预防慢性肾脏病并延缓其进展的综合方法。
