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本文引用的文献

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KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease.KDIGO 2024慢性肾脏病评估与管理临床实践指南
Kidney Int. 2024 Apr;105(4S):S117-S314. doi: 10.1016/j.kint.2023.10.018.
2
Cystatin C as a GFR Estimation Marker in Acute and Chronic Illness: A Systematic Review.胱抑素C作为急慢性疾病中肾小球滤过率的评估标志物:一项系统评价。
Kidney Med. 2023 Sep 19;5(12):100727. doi: 10.1016/j.xkme.2023.100727. eCollection 2023 Dec.
3
Extending the cystatin C based EKFC-equation to children - validation results from Europe.将基于胱抑素 C 的 EKFC 方程扩展至儿童 - 来自欧洲的验证结果。
Pediatr Nephrol. 2024 Apr;39(4):1177-1183. doi: 10.1007/s00467-023-06192-6. Epub 2023 Oct 24.
4
Prospective validation of an equation based on plasma cystatin C for monitoring the glomerular filtration rate in children treated with cisplatin or ifosfamide for cancer.前瞻性验证基于血浆胱抑素 C 的方程在顺铂或异环磷酰胺治疗癌症儿童中监测肾小球滤过率的应用。
Cancer Chemother Pharmacol. 2024 Apr;93(4):393-395. doi: 10.1007/s00280-023-04597-6. Epub 2023 Oct 3.
5
Discordance Between Creatinine-Based and Cystatin C-Based Estimated GFR: Interpretation According to Performance Compared to Measured GFR.基于肌酐和基于胱抑素C的估算肾小球滤过率之间的不一致性:与实测肾小球滤过率相比,根据性能进行解读
Kidney Med. 2023 Aug 9;5(10):100710. doi: 10.1016/j.xkme.2023.100710. eCollection 2023 Oct.
6
Estimating the Glomerular Filtration Rate in Pediatric Patients With Neurogenic Bladder: A Comparison Between Creatinine- and Cystatin C-Equations.评估神经源性膀胱患儿的肾小球滤过率:肌酐方程与胱抑素C方程的比较
Cureus. 2023 Jul 23;15(7):e42337. doi: 10.7759/cureus.42337. eCollection 2023 Jul.
7
Malnutrition and protein energy wasting are associated with severity and progression of pediatric chronic kidney disease.营养不良和蛋白质能量消耗与儿童慢性肾脏病的严重程度和进展有关。
Pediatr Nephrol. 2024 Jan;39(1):243-250. doi: 10.1007/s00467-023-06078-7. Epub 2023 Jul 18.
8
Child and adolescent obesity.儿童和青少年肥胖。
Nat Rev Dis Primers. 2023 May 18;9(1):24. doi: 10.1038/s41572-023-00435-4.
9
Cystatin C-Based Equation to Estimate GFR without the Inclusion of Race and Sex.基于胱抑素C的估算肾小球滤过率的公式,不纳入种族和性别因素。
N Engl J Med. 2023 Jan 26;388(4):333-343. doi: 10.1056/NEJMoa2203769.
10
[Clinical practice guideline for early screening of pediatric chronic kidney disease in China(version 2021)].《中国儿童慢性肾脏病早期筛查临床实践指南(2021年版)》
Zhonghua Er Ke Za Zhi. 2022 Sep 2;60(9):858-868. doi: 10.3760/cma.j.cn112140-20220714-00647.

[肾小球滤过率评估方法在儿科人群中的当前临床应用]

[Current clinical application of glomerular filtration rate assessment methods in pediatric populations].

作者信息

Wang Zi-Sai, Wang Sheng-Feng, Zhao Ming-Yi, He Qing-Nan

机构信息

Department of Pediatrics, Third Xiangya Hospital, Central South University, Changsha 410013, China(He Q-N, Email:

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2024;26(9):1002-1008. doi: 10.7499/j.issn.1008-8830.2401011.

DOI:10.7499/j.issn.1008-8830.2401011
PMID:39267519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11404467/
Abstract

Glomerular filtration rate (GFR) is a critical indicator of renal function assessment, which exhibits age-dependency in children and may differ from adults under various disease conditions. In recent years, there has been a growing focus on GFR among scholars, with an increasing number of clinical studies dedicated to refining and optimizing GFR estimation to span all pediatric age groups. However, the methods and assessment equations for estimating GFR may vary under different disease conditions, affecting the accuracy and applicability of assessments. This article reviews the peculiarities of renal function in children, explores GFR measurement methods, and evaluates the application of various GFR assessment equations in pediatric clinical practice, providing a reference for clinical assessment of renal function in children.

摘要

肾小球滤过率(GFR)是评估肾功能的关键指标,在儿童中呈现出年龄依赖性,并且在各种疾病状态下可能与成人有所不同。近年来,学者们对GFR的关注日益增加,越来越多的临床研究致力于完善和优化GFR估计方法,以涵盖所有儿科年龄组。然而,在不同疾病状态下,估计GFR的方法和评估方程可能会有所不同,从而影响评估的准确性和适用性。本文综述了儿童肾功能的特点,探讨了GFR测量方法,并评估了各种GFR评估方程在儿科临床实践中的应用,为儿童肾功能的临床评估提供参考。