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矿物质和骨异常是慢性肾脏病患者最常见的并发症之一,几乎所有的终末期肾病患者都会出现这些并发症。肾脏替代治疗的应用日益广泛,但其仍不能很好地解决慢性肾衰竭中钙磷及骨代谢紊乱、甲状旁腺功能亢进、转移性钙化等问题。该文检索了国内外相关文献,阐述了终末期肾病患者矿物质和骨异常的分型、诊断以及相关的治疗进展,以便更好地改善患者的治疗效果,提高其生存质量。
Minerals and bone abnormalities are one of the most common complications of patients with chronic kidney disease, and these complications occur in almost all patients with end-stage renal disease. Renal replacement therapy is widely used, but it still can not solve the problems of calcium and phosphorus metabolism disorders, hyperparathyroidism and metastatic calcification in chronic renal failure. This article retrieved relevant literature at home and abroad, described the classification and diagnosis of mineral and bone abnormalities in patients with end stage renal disease, and the related treatment progress, in order to better improve the treatment effect and improve the quality of life of patients.