IR@PKUHSC
学科主题肾脏病学
中国慢性肾脏病的高患病率及其对检验医学的挑战
其他题名Current status of chronic kidney disease in China and the challenge to laboratory medicine
张路霞; 王海燕
关键词慢性病 肾疾病 肾小球滤过率 蛋白尿 血尿 Chronic Disease Kidney Diseases Glomerular Filtration Rate Proteinuria Hematuria
刊名中华检验医学杂志
2012
DOI10.3760/cma.j.issn.1009-9158.2012.09.001
35期:9页:769-772
收录类别中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型Journal Article
摘要慢性肾脏病(CKD)已经成为全球性的公共卫生问题.新近完成的“中国慢性肾脏病流行病学调查”结果显示,我国18岁以上成年人群中CKD的患病率为10.8%,亟需引起关注.目前常用的检测CKD指标包括估计肾小球滤过率、蛋白尿及血尿.目前国际指南中推荐检验科在检测血肌酐的同时报告估计肾小球滤过率结果;中国人群可使用中国公式或慢性肾脏病流行病学合作公式,但需注意肌酐检测的标准化.关于蛋白尿的检测,强调若检测点尿,需同时检测尿肌酐并据之对于尿蛋白水平进行校正.检测血尿时,由于尿常规试纸法假阳性率高、假阴性率低,推荐对于尿常规试纸法潜血阳性的患者再进行新鲜尿离心后尿沉渣的显微镜检测进行确定. Chronic kidney disease (CKD) has become a public health issue worldwide.A recent cross-sectional survey revealed that the prevalence of CKD in residents aged 18 years or older was 10.8%,indicating the challenge of CKD in China.The major indicators of kidney damage include estimated glomerular filtration rate (eGFR),proteinuria and hematuria.It is recommended that laboratory should report eGFR when reporting results of blood creatinine.Both of Chinese equation and Chronic Kidney Disease Epidemiology Collaboration equation could be used.The process of creatinine measurement should be standardized.For evaluation of proteinuria,urinary creatinine should also be measured when using spot urine sample.Considering the high false positive rate and low false negative rate of urine routine test for hematuria,it is recommended that microscopic examination on urinary sediment should be done for those with positive hematuria by urine routine test.(Chin J Lab Med,2012,35:769-772)
语种中文
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文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/46114
作者单位100034, 北京大学第一医院肾内科 北京大学肾脏疾病研究所 卫生部肾脏疾病重点实验室慢性肾脏病防治教育部重点实验室(北京大学)
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GB/T 7714
张路霞,王海燕. 中国慢性肾脏病的高患病率及其对检验医学的挑战[J]. 中华检验医学杂志,2012,35(9):769-772.
APA 张路霞,&王海燕.(2012).中国慢性肾脏病的高患病率及其对检验医学的挑战.中华检验医学杂志,35(9),769-772.
MLA 张路霞,et al."中国慢性肾脏病的高患病率及其对检验医学的挑战".中华检验医学杂志 35.9(2012):769-772.
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