慢性肾脏病矿物质和骨异常(CKD⁃MBD)是影响慢性肾脏病患儿预后的重要并发症之一,主要表现为钙磷代谢紊乱、骨代谢异常、继发性甲状旁腺亢进症、血管钙化、生长障碍等,可严重影响患儿的生活质量,增加其病死率。了解并掌握CKD⁃MBD的发生和发展机制,并进行规范诊治,对于改善慢性肾脏病患儿预后具有重要意义。本文通过文献复习,总结儿童CKD⁃MBD的研究进展,旨在提高临床医生对儿童CKD⁃MBD的认识。
慢性肾脏病矿物质和骨异常(CKD⁃MBD)是影响慢性肾脏病患儿预后的重要并发症之一,主要表现为钙磷代谢紊乱、骨代谢异常、继发性甲状旁腺亢进症、血管钙化、生长障碍等,可严重影响患儿的生活质量,增加其病死率。了解并掌握CKD⁃MBD的发生和发展机制,并进行规范诊治,对于改善慢性肾脏病患儿预后具有重要意义。本文通过文献复习,总结儿童CKD⁃MBD的研究进展,旨在提高临床医生对儿童CKD⁃MBD的认识。
Chronic kidney disease mineral and bone disorder (CKD⁃MBD) is one of the important complications affecting the prognosis of children with chronic kidney disease, mainly manifested as calcium and phosphorus metabolism disorders, bone metabolism disorder, secondary hyperparathyroidism, vascular calcification, growth disorders, etc., which can seriously affect the quality of life in children and increase their fatality rate. It is of great significance to understand the occurrence and development mechanism of CKD⁃MBD and standardize the diagnosis and treatment of CKD⁃MBD for improving the prognosis of children with chronic kidney disease. Through literature review, this paper summarizes the research progress of CKD⁃MBD in children, aiming at improving clinicians' understanding of CKD⁃MBD in children.