糖尿病肾脏疾病肾性贫血认识与管理中国专家共识（2023年版）

中华肾脏病杂志2023年3月第39卷第3期Chin J Nephrol,Marh2023.Val.39,Na.3·229··专家共识·糖尿病肾脏疾病肾性贫血认识与管理中国专家共识(2023年版)中国病理生理学会肾脏病专业委员会糖尿病肾脏疾病贫血共识专家组通信作者：孙林，中南大学肾脏病研究所/湘雅二医院肾内科，湘雅二医院国家代谢性疾病临床医学研究中心，410011长沙，Email:sunlin@csu.edu.cn;杨俊伟，南京医科大学第二附属医院肾脏病中心，2l0011南京，Email:jwyang(@njmu.edu.cm【摘要】糖尿病肾脏疾病(diabetic kidney disease,DKD)是临床常见病与多发病，严重危害人类健康。DKD患者常常并发贫血，其贫血特点是：与非糖尿病相关肾脏疾病(on-DKD,NDKD)相比，贫血发生更早、危害性更重，认识不足，贫血机制复杂，防治更难。近年来国内外肾脏病学会或组织先后发布了慢性肾脏病(chronic kidney disease,CKD)肾性贫血诊治指南或共识，但对DKD贫血的诊疗指导，仍有提升的空间。为此，中国病理生理学会肾脏病专业委员会牵头组织成立了以肾脏病专家为主体，联合内分泌、心血管内科、血液科专家组成的DKD贫血共识专家组，通过对DKD贫血管理与现状调研，参考国内外文献及相关指南供识，结合专家经验，形成该共识。该共识内容首先介绍了DD患者贫血特点、DKD贫血的危害及相关机制，然后对DKD贫血筛查、贫血纠正启动时机、药物选择与注意事项、铁剂应用、DKD患者输血等临床所关心的问题进行了讨论，提出了诊疗建议并达成共识，旨在进一步加强临床医师对DKD贫血的认识与管理，提高我国DKD贫血患者的防治水平。【关键词】糖尿病：糖尿病肾病：贫血：管理实践指南注册：国际实践指南注册与透明化平台，PREPARE-2022CN605Chinese expert consensus on understanding and management of renal anemia in diabetickidney disease (2023)Consensus Expert Group on Anemia in Diabetic Kidney Disease,Chinese Association of Pathophysiology,Society of NephrologyCorresponding author:Sun Lin,Department of Nephrology,the Second Xiangya Hospital,Central SouthUniversity,National Clinical Research Center for Metabolic Diseases,Changsha 410011,China,Email:sunlin@csu.edu.cn;Yang Junwei,Nephrology Center,the Second Affiliated Hospital of Nanjing MedicalUniversity,Nanjing 21001 1,China,Email:jwyang@njmu.edu.cnAbstract Diabetic kidney disease (DKD)is a common and frequent clinical disease,whichseriously endangers human health.Renal anemia is often complicated in patients with DKD,which ischaracterized by earlier onset,less recognition,complex mechanisms,more difficult prevention andtreatment than that in non-DKD.In recent years,nephrology societies or organizations in the worldhave issued guidelines or consensus for the diagnosis and treatment of renal anemia in chronickidney disease.However,they are not enough for renal anemia in DKD.To this end,a expertconsensus on administration of renal anemia in DKD was developed mainly by nephrologists andendocrinology,cardiovascular specialist as well as hematologist,organizing by Chinese Associationof Pathophysiology,Society of Nephrology.This consensus was formed through investigating themanagement and current situation of anemia in DKD,analyzing recently relevant literature andD01:10.3760/cma.j.cm441217-20220919-00926■收稿日期2022-09-19本文编辑杨克魁引用本文：中国病理生理学会肾脏病专业委员会糖尿病肾脏疾病贫血共识专家组.糖尿病肾脏疾病肾性贫血认识与管理中国专家共识(2023年版)0.中华肾脏病杂志，2023,393229-244.D0110.37601macn441217-20220919-00926.