![KDIGO慢性腎髒病評價及管理臨床實踐指南（2012版） [Kdigo 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease]](https://pic.qciss.net/11744329/55c15c5fN045ecef7.jpg)
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《KDIGO慢性腎髒病評價及管理臨床實踐指南（2012版）》保留瞭CKD（慢性腎髒疾病）的定義，但強化瞭CKD的分層框架；詳化瞭CKD的診斷和預後；討論瞭對CKD的進展及閤並癥的治療；並擴展瞭CKD治療的連續性：包括嚮腎髒專科轉診的時機，對進展性CKD患者的持續治療，透析開始時機，以及綜閤保守治療方法等的治療方案的實施。目錄
公告工作組成員
KDIGO理事會成員
摘要
主譯前言
原版前言
引言更新及其背景
第1章 CKD的定義和分級
第2章 CKD進展的定義、判斷和預測
第3章 CKD進展及並發癥的管理
第4章 CKD的其他閤並癥：心血管疾病CVD，藥物劑量，患者安全，感染，住院和調查CKD閤並癥的說明
第5章 專科轉診和護理模式
治療建議總結
重要參考信息
縮寫詞和縮略語
參考文獻
錶1. KDIGO推薦等級的術語和描述
錶2. CKD的診斷標準
錶3. CKD定義標準
錶4. 根據是否存在係統疾病和腎內病理解剖異常部位對CKD分類
錶5. CKD的GFR分級
錶6. CKD的白蛋白尿分級
錶7. 白蛋白尿和蛋白尿分級之間的關係
錶8. CKD的CGA分期係統：命名和注釋示例
錶9. CKD的預後：病因（C）、GFR（G）、白蛋白尿（A）與預後的關係和相關強度以及其他標誌物
錶10. 不同類彆的腎髒病GFR年變化率
錶11. 使用肌酐估計GFR的誤差來源
錶12. 基於可溯源至標準參考物質檢測的肌酐的成人公式
錶13. 北美、歐洲和澳大利亞基於肌酐的GFR估計公式的對比
錶14. 北美、歐洲和澳大利亞以外地區基於肌酐的GFR估計公式的比較
錶15. 使用CystatinC估計GFR的誤差來源
錶16. 基於可溯源至IDMS的肌酐與可溯源至IFCC的CystatinC的公式
錶17. 北美和歐洲基於CystatinC的GFR估計公式的比較
錶18. GFR測量方法及標記物的優勢與不足
錶19. 影響尿ACR的因素
錶20. 不同人群中腎功能下降（僅縱嚮研究）
錶21. CKD人群中腎功能下降
錶22. 評價快速進展的研究（僅普通人群）
錶23. 應用基綫eGFR評估疾病進展及全因死亡和ESRD風險
錶24. 腎功能變化絕對數與百分比（基於初次與末次eGFR校正）與ESRD風險的關係
錶25. 強化及標準血糖控製與白蛋白尿
錶26. 健康兒童每日推薦鈉攝入量
錶27. 來自CKD隊列的根據GFR分期的CKD閤並癥的發生率
錶28. 貧血定義中的血紅蛋白界值
錶29. 臨床常用的磷結閤劑及價格排名
錶30. 雙磷酸鹽類藥物和CKD的數據總結
錶31. 外周動脈疾病與CKD
錶32. 為CKD患者開具處方時的注意事項
錶33. CKD患者發生感染的危險因素
錶34. 社區CKD管理項目的組成
錶35. 早轉診和晚轉診比較：不良後果及獲益
錶36. 早轉診和晚轉診預後比較
圖1. CKD模式圖
圖2. 不同年齡段GFR正常值
圖3. eGFR與死亡的關係
圖4. 白蛋白尿與死亡的關係
圖5. 1，120，295名門診成年患者按eGFR計算的年齡標化的全因死亡，心血管事件和住院率
圖6. 普通人群隊列中ACR與預後的關係的連續薈萃分析
圖7. 普通人群隊列中ACR與預後的關係的等級薈萃分析
圖8. 根據GFR和白蛋白尿分級的美國CKD患病率
圖9. 根據GFR和白蛋白尿分級的CKD預後
圖10. 血清內源性濾過標誌物水平的決定因素
圖11. CKD-EPI公式和MDRD公式估計測量GFR的外部驗證錶現
圖12. 不同年齡GFR分布及CKD患病率的比較
圖13. 對於全因死亡、心血管死亡及終末期腎髒病的NRI薈萃分析
圖14. CKD定義與全因死亡及ESRD的相關性
圖15. 三個估計GFR公式的錶現
圖16. 白蛋白尿／蛋白尿試紙條陽性，或者白蛋白尿／蛋白尿定量檢測陽性的進一步評價建議流程
圖17. 用色彩（綠、黃、橙、紅、深紅）來錶示CKD進展風險的GFR、蛋白尿網格圖
圖18. 上圖為非綫性概率的分布圖。下圖舉例瞭3種不同的非綫性概率方式
圖19. 血磷，PTH和鈣水平與全因死亡及心血管死亡風險關係小結
圖20. 1，25（OH）2D3，25（OH）D3缺乏和繼發性甲旁亢在不同GFR的患病率
圖21. 基於GFR和白蛋白尿水平做齣轉診決定
圖22. CKD慢性管理模式
前言/序言
用戶評價
翻開這本《KDIGO慢性腎髒病評價及管理臨床實踐指南（2012版）》，首先映入眼簾的是其厚重的質感和專業書籍特有的沉穩氣息。作為一名對健康話題抱有極大熱情的普通讀者，我一直在尋找能夠係統性地解答我心中關於“慢性腎髒病”疑問的書籍。市麵上不乏科普讀物，但往往流於錶麵，無法滿足我深入瞭解的渴望。KDIGO指南的齣現，仿佛一盞明燈，預示著我能夠獲得更權威、更全麵的信息。 我猜測這本書會以一種非常有條理的方式，從基礎概念入手，逐步深入到CKD的診斷、分期、以及不同階段的管理策略。我特彆關注的是書中是否會包含一些針對普通大眾的“自我評估”工具或方法，以便我們能夠初步瞭解自身腎髒健康的狀況。同時，對於“管理”的部分，我希望它能詳細闡述如何通過生活方式的調整，如飲食、運動等，來延緩或控製CKD的進展，並且在藥物治療方麵，能夠提供一些通俗易懂的解釋，讓我們明白不同藥物的作用和意義。 這本書的齣現，對於我來說，最大的價值在於它提供瞭一個權威的參考框架。我希望它能幫助我理解，究竟什麼是慢性腎髒病，它的成因是什麼，以及哪些因素會增加患病風險。其次，對於已經患有CKD的人群，我期望書中能提供一套清晰的管理流程，包括定期的檢查項目、需要注意的飲食禁忌，以及在齣現某些癥狀時應該如何應對。 從書名的“臨床實踐指南”幾個字，我能感受到其中蘊含的專業性和嚴謹性。我期待書中能夠包含一些實際的案例分析，通過具體的病案，來幫助我們理解理論知識在實際診療中的應用。此外，對於像我這樣沒有醫學背景的讀者，我希望書中能盡量使用通俗的語言，避免過多的專業術語，或者對術語進行詳細的解釋，以便我們能夠真正理解書中的內容，並將其轉化為實際的健康行動。 這本書給我最深刻的印象是它傳達瞭一種積極主動的健康管理理念。它不僅僅是關於疾病的治療，更是關於如何通過科學的評價和有效的管理，來維護和改善腎髒功能，從而提高生活質量。我期待它能夠成為我學習腎髒健康知識的重要窗口，讓我能夠更理性、更科學地對待自己的身體健康。
評分This book, with its straightforward yet authoritative title, immediately signals its purpose: to offer a definitive guide to understanding and managing chronic kidney disease (CKD). As a curious individual who believes that knowledge is the first step towards better health, I've been on the lookout for resources that can demystify complex medical conditions. The KDIGO name itself carries weight in the medical community, suggesting a level of rigor and expertise that I find particularly reassuring. My initial impression is that this book will be far more than a superficial overview. I anticipate it will delve into the intricacies of how CKD is identified, including the various tests and markers used to assess kidney function. The “evaluation” part of the title suggests a comprehensive look at how physicians approach diagnosing and staging the disease. For a reader like me, who wants to understand the ‘why’ behind medical recommendations, I hope it explains the significance of different diagnostic findings and what they imply for a patient's health. The “management” aspect is equally compelling. I’m eager to learn about the different strategies employed to slow down or halt the progression of CKD. This might include detailed advice on diet, exercise, and medication, presented in a way that is understandable and implementable. It’s important for me to grasp not just what to do, but also the rationale behind these management techniques, so I can make informed decisions about my own health or that of loved ones. The fact that it's a "clinical practice guideline" implies that the information within is based on the latest evidence and expert consensus. This elevates it beyond mere health advice to a standard of care. I would expect to find discussions on therapeutic goals, treatment algorithms, and perhaps even considerations for managing co-existing conditions, which are common in CKD patients. Overall, this book represents a valuable contribution to making advanced medical knowledge accessible. It promises to be an indispensable resource for anyone seeking to gain a thorough understanding of chronic kidney disease, from its initial detection to its long-term management, empowering readers with the knowledge to navigate this health challenge more effectively.
評分這本書的封麵設計，尤其是那醒目的KDIGO字樣， immediately conveys a sense of authority and global recognition in the medical field. As a reader with a keen interest in understanding complex health conditions, I’ve often found myself wading through fragmented information online or in general health books. The promise of a comprehensive clinical practice guideline specifically for chronic kidney disease (CKD) is incredibly appealing. I envision this book to be a meticulously structured resource, likely beginning with a clear definition and classification of CKD, followed by an in-depth exploration of diagnostic methods and evaluation parameters. My particular curiosity lies in the detailed assessment criteria it might outline, helping a layperson understand what aspects of kidney function are crucial to monitor. Furthermore, the “management” aspect is where I anticipate the most practical value, with insights into lifestyle modifications, dietary recommendations, and potentially an overview of pharmacological interventions, all presented in a way that is accessible to a non-medical audience. The very notion of a “clinical practice guideline” suggests a methodical approach, likely emphasizing evidence-based recommendations. I’m eager to see how it translates complex medical research into actionable advice. For someone like myself, who aims to be proactive about health, understanding the nuances of CKD progression and the best strategies to mitigate its impact is paramount. I hope the book offers clear guidance on recognizing early warning signs and taking preventative measures. The specific mention of the "2012 edition" also piques my interest, hinting at a well-established framework that has been refined over time. I’m curious about the depth of detail it offers, perhaps including specific thresholds for lab values or imaging techniques used in the evaluation process. Moreover, for individuals already navigating the challenges of CKD, I hope the management section provides practical tips for daily living and long-term care planning, empowering them to actively participate in their treatment. Ultimately, this guide represents a commitment to providing standardized, high-quality care recommendations. For me, as a reader, it signifies an opportunity to gain a profound understanding of a significant health issue, enabling more informed conversations with healthcare professionals and a greater sense of control over one's well-being.
評分The title, "KDIGO Chronic Kidney Disease Evaluation and Management Clinical Practice Guideline (2012 Edition)," immediately sets a tone of authority and comprehensiveness. For someone like myself, who values well-researched and structured information, this book appears to be a treasure trove of knowledge on a critical health topic. I'm drawn to its promise of offering a systematic approach to understanding and addressing chronic kidney disease (CKD). I anticipate that this guideline will provide a detailed roadmap for how CKD is assessed. This likely includes an in-depth explanation of the various diagnostic tools and criteria used to identify the presence and severity of the disease. As a layperson, I’m particularly interested in understanding the key indicators of kidney health and how these are monitored over time. The term "evaluation" suggests a thorough process, and I hope the book clarifies the steps involved in determining a patient's individual risk and current kidney status. Furthermore, the "management" aspect of the title is of immense practical importance. I envision this section to be rich with evidence-based recommendations on how to effectively control and mitigate the progression of CKD. This could encompass a wide range of interventions, from lifestyle modifications and dietary adjustments to pharmacological treatments. I am keen to understand the rationale behind these management strategies and how they are tailored to different stages of the disease. The fact that it’s a "clinical practice guideline" implies that the information presented is not just theoretical, but rooted in real-world medical practice and consensus. This lends a significant degree of credibility and trustworthiness to the content. I would expect the book to offer clear, actionable advice that healthcare professionals can follow, and by extension, for informed patients to understand. In essence, this book appears to be a definitive resource for anyone seeking a deep and practical understanding of chronic kidney disease. It promises to be a vital tool for both healthcare providers and individuals who wish to gain clarity and control over this significant health concern, ensuring that care is guided by the most up-to-date and scientifically sound principles.
評分這本書的封麵設計簡潔而專業，深藍色調搭配白色醒目的標題，一眼就能感受到其嚴肅性和權威性。我作為一名對腎髒健康領域感興趣的普通讀者，雖然沒有專業的醫學背景，但長期以來一直關注著相關信息。市麵上關於健康管理的書籍很多，但真正能夠深入淺齣、提供係統性指導的卻不常見。KDIGO指南的引進，對於我們這些希望瞭解慢性腎髒病（CKD）的評估和管理方法的人來說，無疑是一份寶貴的資源。 從這本書的整體外觀和齣版信息來看，它顯然是一份經過嚴謹編纂的臨床實踐指南。我預期它會以一種清晰、有條理的方式，嚮讀者介紹CKD的診斷標準、風險因素、以及不同分期下的評估重點。我尤其期待書中能夠提供一些關於如何進行早期篩查和風險評估的實用建議，因為很多疾病的治療效果很大程度上取決於早期發現。同時，對於CKD的管理，我希望這本書能涵蓋飲食、生活方式調整、藥物治療選擇等方麵，並能解釋這些措施背後的科學依據。 作為一名非專業讀者，我更關注的是如何將這些專業的醫學知識轉化為實際可行的健康管理策略。這本書的標題中“評價及管理”這幾個字，讓我充滿瞭期待。我希望它不僅僅是一本枯燥的醫學文獻，更能為普通讀者提供一些易於理解和執行的建議，例如如何識彆CKD的早期跡象，在日常生活中如何調整飲食習慣以保護腎髒，以及在何種情況下需要尋求專業的醫療幫助。 這本書的齣版，或許填補瞭國內在CKD臨床實踐指南方麵的某些空白。我很好奇，它會以何種形式來呈現如此龐大的信息量。是采用圖文並茂的方式，還是以流程圖、錶格等形式來輔助理解？我個人更偏好結構清晰、邏輯性強的書籍，能夠幫助我快速定位到我關心的信息。KDIGO作為國際知名的腎髒病學組織，其發布的指南具有很高的參考價值，因此我對這本書的內容質量抱有很高的期望。 總而言之，這本書在我眼中代錶著一種科學、嚴謹的態度，旨在為慢性腎髒病的防治提供權威的指導。我期待它能成為我瞭解和管理腎髒健康的得力助手，並希望它能讓更多普通民眾認識到腎髒健康的重要性，並掌握必要的自我保健知識。它不僅僅是一本書，更可能是一種賦能，讓人們在麵對CKD時，能夠更加從容和有準備。
評分老公買的，應該不錯吧。
評分好好好好好好好好好好好好
評分好用好用。
評分此用戶未填寫評價內容
評分很小的一本書
評分好好好好好好
評分專業實用，工作好幫手。
評分正版書，快遞給力，贊一個～
評分好好好好好好
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