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得了腎炎要怎么治療才有效果,

健康生活 2023-10-04 21:54:48

腎(shen)(shen)炎是比較常見的(de)(de)腎(shen)(shen)臟疾病之一。腎(shen)(shen)炎會(hui)讓(rang)患者(zhe)出現少尿甚(shen)至到后面出現無尿的(de)(de)癥狀,還會(hui)導致患者(zhe)下肢出現水(shui)腫,那么腎(shen)(shen)炎要怎(zen)么治療才有效(xiao)果呢?

一、水腫的治療:

輕度水(shui)腫的腎炎(yan)患(huan)者無需治療(liao),經限鹽和(he)休息即可(ke)消失。明顯水(shui)腫患(huan)者,可(ke)用藥物治療(liao),一般間(jian)斷應用比持續應用要好。

二、臥床休息:

急性腎炎臥床休息(xi)十分重要。水腫(zhong)消退,血壓下降,尿異常減輕(qing)以后,患者(zhe)可(ke)進行適量散步,逐漸增加一些(xie)輕(qing)度的(de)活動,但是不要驟然增加活動量。

三、抗感染治療:

處于急性期的(de)腎炎(yan)患者在有感染灶的(de)情(qing)況下要給(gei)以(yi)足夠的(de)抗感染治療,無感染灶時,一般以(yi)不用為妥。

四、高血壓及心力衰竭的治療:

存在高血(xue)壓的腎(shen)炎(yan)患(huan)者需要(yao)常規治療高血(xue)壓。心力衰竭(jie)的腎(shen)炎(yan)患(huan)者,因急性腎(shen)炎(yan)病患(huan)早期存在高血(xue)容(rong)量問(wen)題,治療重點宜放在清除(chu)水(shui)、鈉潴溜,減低血(xue)容(rong)量上面。

五、飲食和水分:

水分(fen)的攝(she)入量(liang)以尿(niao)量(liang)、浮(fu)腫(zhong)、高(gao)(gao)血(xue)壓(ya)的程度及有無心衰(shuai)綜合來判(pan)定,處于急性期的腎炎患(huan)者(zhe)以限制水分(fen)為(wei)宜,但(dan)不能過份。鹽的攝(she)入量(liang)在(zai)有明(ming)顯(xian)水腫(zhong)和高(gao)(gao)血(xue)壓(ya)情況下,可(ke)限制在(zai)2g/d左右 。蛋(dan)(dan)(dan)白質(zhi)的攝(she)入,視指(zhi)標限制,蛋(dan)(dan)(dan)白質(zhi)需(xu)以高(gao)(gao)質(zhi)量(liang)蛋(dan)(dan)(dan)白為(wei)佳(jia),如蛋(dan)(dan)(dan)類(lei)(lei)、乳類(lei)(lei)、瘦肉等(deng)。一般(ban)主張進低蛋(dan)(dan)(dan)白、高(gao)(gao)糖飲(yin)食持續到(dao)利尿(niao)開(kai)始,待腎炎患(huan)者(zhe)癥狀基本緩解后,可(ke)恢復常規飲(yin)食。

六、抗凝療法:

腎小球(qiu)內(nei)凝血主要為纖維(wei)素沉積及血小板(ban)聚集。因此,在對(dui)此類患(huan)者治療(liao)(liao)時,可采用抗凝療(liao)(liao)法,有助(zhu)于(yu)腎炎緩解。

七、抗氧化劑應用:

可應(ying)用超氧歧化(hua)酶(SOD)、含硒谷胱甘肽過氧化(hua)酶及維生素(su)E。

針灸培訓

慢性腎炎應(ying)該怎么治(zhi)療?

病(bing)(bing)(bing)(bing)(bing)情分(fen)(fen)析:慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)簡稱(cheng)為(wei)慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)系(xi)指(zhi)各(ge)種病(bing)(bing)(bing)(bing)(bing)因(yin)(yin)引(yin)(yin)(yin)起的(de)(de)(de)(de)不(bu)(bu)(bu)同(tong)病(bing)(bing)(bing)(bing)(bing)理(li)類型的(de)(de)(de)(de)雙(shuang)側(ce)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)彌漫性(xing)(xing)或(huo)(huo)局(ju)灶性(xing)(xing)炎(yan)(yan)(yan)(yan)癥(zheng)(zheng)(zheng)(zheng)改(gai)(gai)(gai)變臨床(chuang)起病(bing)(bing)(bing)(bing)(bing)隱匿病(bing)(bing)(bing)(bing)(bing)程冗長病(bing)(bing)(bing)(bing)(bing)情多(duo)(duo)發展緩(huan)(huan)(huan)慢(man)(man)(man)的(de)(de)(de)(de)一(yi)(yi)組(zu)(zu)(zu)原發性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)疾(ji)病(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)總稱(cheng)意見(jian)建議(yi):(一(yi)(yi))一(yi)(yi)般治療(liao)(liao)(liao)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)無(wu)明顯(xian)(xian)水(shui)(shui)(shui)(shui)腫、高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)尿(niao)(niao)(niao)(niao)和(he)(he)(he)(he)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)尿(niao)(niao)(niao)(niao)不(bu)(bu)(bu)嚴重(zhong)(zhong)無(wu)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)不(bu)(bu)(bu)全(quan)表(biao)(biao)現(xian)可(ke)(ke)(ke)以自理(li)生(sheng)(sheng)(sheng)活(huo)(huo)甚至可(ke)(ke)(ke)以從事輕微勞(lao)動(dong)(dong)但要(yao)防止呼吸道感染切(qie)忌勞(lao)累(lei)勿使(shi)(shi)用(yong)(yong)(yong)(yong)對(dui)(dui)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)臟有(you)(you)(you)(you)毒性(xing)(xing)作用(yong)(yong)(yong)(yong)的(de)(de)(de)(de)藥(yao)(yao)物有(you)(you)(you)(you)明顯(xian)(xian)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)、水(shui)(shui)(shui)(shui)腫者(zhe)(zhe)(zhe)(zhe)或(huo)(huo)短(duan)期(qi)(qi)內(nei)有(you)(you)(you)(you)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)減(jian)(jian)(jian)退(tui)者(zhe)(zhe)(zhe)(zhe)應(ying)(ying)(ying)(ying)(ying)(ying)(ying)臥床(chuang)休息并限制(zhi)(zhi)(zhi)食鹽的(de)(de)(de)(de)攝(she)(she)入(ru)(ru)量(liang)(liang)(liang)(liang)至2~3g對(dui)(dui)尿(niao)(niao)(niao)(niao)中(zhong)丟失(shi)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)質(zhi)(zhi)較多(duo)(duo)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)尚(shang)可(ke)(ke)(ke)者(zhe)(zhe)(zhe)(zhe)宜補(bu)充生(sheng)(sheng)(sheng)物效價高(gao)(gao)(gao)(gao)的(de)(de)(de)(de)動(dong)(dong)物蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)如(ru)(ru)雞蛋(dan)(dan)(dan)、牛奶、魚類和(he)(he)(he)(he)瘦肉等(deng)(deng)(deng)已(yi)有(you)(you)(you)(you)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)減(jian)(jian)(jian)退(tui)者(zhe)(zhe)(zhe)(zhe)(內(nei)生(sheng)(sheng)(sheng)肌(ji)(ji)酐清除(chu)率在(zai)(zai)(zai)30ml/min左右(you)(you))應(ying)(ying)(ying)(ying)(ying)(ying)(ying)適(shi)(shi)量(liang)(liang)(liang)(liang)限制(zhi)(zhi)(zhi)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)質(zhi)(zhi)在(zai)(zai)(zai)30g左右(you)(you)必(bi)要(yao)時(shi)(shi)(shi)(shi)加(jia)口服適(shi)(shi)量(liang)(liang)(liang)(liang)必(bi)需(xu)(xu)氨基酸(suan)(suan)(suan)(二(er))激(ji)(ji)(ji)素(su)(su)(su)(su)(su)、免疫抑(yi)制(zhi)(zhi)(zhi)劑(ji)(ji)(ji)(ji)(ji)(三)對(dui)(dui)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)處(chu)理(li)1.短(duan)期(qi)(qi)內(nei)出(chu)(chu)(chu)(chu)現(xian)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)或(huo)(huo)第一(yi)(yi)次(ci)(ci)(ci)出(chu)(chu)(chu)(chu)現(xian)或(huo)(huo)在(zai)(zai)(zai)近期(qi)(qi)有(you)(you)(you)(you)進(jin)行性(xing)(xing)升高(gao)(gao)(gao)(gao)者(zhe)(zhe)(zhe)(zhe)均應(ying)(ying)(ying)(ying)(ying)(ying)(ying)臥床(chuang)休息、限制(zhi)(zhi)(zhi)過(guo)(guo)多(duo)(duo)活(huo)(huo)動(dong)(dong)2.飲食與(yu)(yu)營養對(dui)(dui)無(wu)明顯(xian)(xian)水(shui)(shui)(shui)(shui)腫和(he)(he)(he)(he)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)者(zhe)(zhe)(zhe)(zhe)不(bu)(bu)(bu)必(bi)限制(zhi)(zhi)(zhi)水(shui)(shui)(shui)(shui)分(fen)(fen)和(he)(he)(he)(he)鈉鹽攝(she)(she)入(ru)(ru)適(shi)(shi)當增(zeng)加(jia)水(shui)(shui)(shui)(shui)分(fen)(fen)以增(zeng)加(jia)尿(niao)(niao)(niao)(niao)量(liang)(liang)(liang)(liang)十分(fen)(fen)重(zhong)(zhong)要(yao)對(dui)(dui)輕、中(zhong)度(du)(du)(du)(du)(du)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)不(bu)(bu)(bu)限制(zhi)(zhi)(zhi)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)質(zhi)(zhi)攝(she)(she)入(ru)(ru)以維持體內(nei)正氮(dan)(dan)(dan)(dan)(dan)平衡特別是每(mei)日(ri)(ri)(ri)丟失(shi)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)質(zhi)(zhi)量(liang)(liang)(liang)(liang)較多(duo)(duo)的(de)(de)(de)(de)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)更應(ying)(ying)(ying)(ying)(ying)(ying)(ying)重(zhong)(zhong)視對(dui)(dui)大(da)(da)量(liang)(liang)(liang)(liang)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)尿(niao)(niao)(niao)(niao)伴輕度(du)(du)(du)(du)(du)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)時(shi)(shi)(shi)(shi)可(ke)(ke)(ke)增(zeng)加(jia)植物蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)如(ru)(ru)大(da)(da)豆等(deng)(deng)(deng)重(zhong)(zhong)度(du)(du)(du)(du)(du)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)或(huo)(huo)近期(qi)(qi)內(nei)進(jin)行性(xing)(xing)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)者(zhe)(zhe)(zhe)(zhe)適(shi)(shi)當限制(zhi)(zhi)(zhi)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)質(zhi)(zhi)攝(she)(she)入(ru)(ru)3.關(guan)于尿(niao)(niao)(niao)(niao)量(liang)(liang)(liang)(liang)與(yu)(yu)尿(niao)(niao)(niao)(niao)滲透濃(nong)度(du)(du)(du)(du)(du)一(yi)(yi)般慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)尿(niao)(niao)(niao)(niao)滲透濃(nong)度(du)(du)(du)(du)(du)常(chang)(chang)在(zai)(zai)(zai)400mOsm/L或(huo)(huo)以下若每(mei)日(ri)(ri)(ri)尿(niao)(niao)(niao)(niao)量(liang)(liang)(liang)(liang)僅(jin)1L則不(bu)(bu)(bu)足排出(chu)(chu)(chu)(chu)含氮(dan)(dan)(dan)(dan)(dan)溶質(zhi)(zhi)故應(ying)(ying)(ying)(ying)(ying)(ying)(ying)要(yao)求尿(niao)(niao)(niao)(niao)量(liang)(liang)(liang)(liang)在(zai)(zai)(zai)1.5L或(huo)(huo)以上(shang)適(shi)(shi)當飲水(shui)(shui)(shui)(shui)或(huo)(huo)喝淡茶(cha)可(ke)(ke)(ke)達到(dao)此目的(de)(de)(de)(de)必(bi)要(yao)時(shi)(shi)(shi)(shi)可(ke)(ke)(ke)間(jian)(jian)斷(duan)服用(yong)(yong)(yong)(yong)利(li)尿(niao)(niao)(niao)(niao)劑(ji)(ji)(ji)(ji)(ji)4.控(kong)制(zhi)(zhi)(zhi)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)和(he)(he)(he)(he)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)實(shi)質(zhi)(zhi)性(xing)(xing)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)常(chang)(chang)提示預后不(bu)(bu)(bu)良(liang)持續或(huo)(huo)重(zhong)(zhong)度(du)(du)(du)(du)(du)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)性(xing)(xing)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)又(you)可(ke)(ke)(ke)加(jia)重(zhong)(zhong)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)用(yong)(yong)(yong)(yong)一(yi)(yi)般降(jiang)(jiang)(jiang)壓(ya)藥(yao)(yao)雖可(ke)(ke)(ke)降(jiang)(jiang)(jiang)低(di)(di)(di)外(wai)(wai)(wai)周血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)阻力(li)但不(bu)(bu)(bu)一(yi)(yi)定(ding)就降(jiang)(jiang)(jiang)低(di)(di)(di)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)內(nei)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)阻力(li)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)入(ru)(ru)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)和(he)(he)(he)(he)出(chu)(chu)(chu)(chu)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)小(xiao)動(dong)(dong)脈(mo)(mo)阻力(li)增(zeng)強(qiang)(qiang)使(shi)(shi)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)濾過(guo)(guo)功(gong)能(neng)(neng)降(jiang)(jiang)(jiang)低(di)(di)(di)鈣(gai)通道阻斷(duan)劑(ji)(ji)(ji)(ji)(ji)如(ru)(ru)硝(xiao)苯地(di)平等(deng)(deng)(deng)能(neng)(neng)否降(jiang)(jiang)(jiang)低(di)(di)(di)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)內(nei)壓(ya)力(li)保(bao)護腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)尚(shang)有(you)(you)(you)(you)異議(yi)現(xian)已(yi)公認血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)緊(jin)張(zhang)(zhang)素(su)(su)(su)(su)(su)轉換酶(mei)抑(yi)制(zhi)(zhi)(zhi)劑(ji)(ji)(ji)(ji)(ji)不(bu)(bu)(bu)僅(jin)降(jiang)(jiang)(jiang)低(di)(di)(di)外(wai)(wai)(wai)周血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)阻力(li)它尚(shang)可(ke)(ke)(ke)抑(yi)制(zhi)(zhi)(zhi)組(zu)(zu)(zu)織中(zhong)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)素(su)(su)(su)(su)(su)-血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)緊(jin)張(zhang)(zhang)素(su)(su)(su)(su)(su)系(xi)統降(jiang)(jiang)(jiang)低(di)(di)(di)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)、出(chu)(chu)(chu)(chu)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)小(xiao)動(dong)(dong)脈(mo)(mo)張(zhang)(zhang)力(li)改(gai)(gai)(gai)善腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)內(nei)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)流動(dong)(dong)力(li)學改(gai)(gai)(gai)變的(de)(de)(de)(de)作用(yong)(yong)(yong)(yong)ACEI尚(shang)使(shi)(shi)組(zu)(zu)(zu)織內(nei)緩(huan)(huan)(huan)激(ji)(ji)(ji)肽(tai)降(jiang)(jiang)(jiang)解(jie)減(jian)(jian)(jian)少緩(huan)(huan)(huan)激(ji)(ji)(ji)肽(tai)擴張(zhang)(zhang)效果(guo)增(zeng)強(qiang)(qiang)緩(huan)(huan)(huan)激(ji)(ji)(ji)肽(tai)尚(shang)可(ke)(ke)(ke)刺激(ji)(ji)(ji)細胞(bao)膜磷脂(zhi)游離出(chu)(chu)(chu)(chu)花生(sheng)(sheng)(sheng)四烯酸(suan)(suan)(suan)促(cu)進(jin)前(qian)列腺素(su)(su)(su)(su)(su)生(sheng)(sheng)(sheng)成(cheng)又(you)增(zeng)強(qiang)(qiang)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)擴張(zhang)(zhang)的(de)(de)(de)(de)效應(ying)(ying)(ying)(ying)(ying)(ying)(ying)ACEI尚(shang)抑(yi)制(zhi)(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)緊(jin)張(zhang)(zhang)素(su)(su)(su)(su)(su)Ⅱ對(dui)(dui)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)系(xi)膜細胞(bao)收(shou)縮作用(yong)(yong)(yong)(yong)這些(xie)作用(yong)(yong)(yong)(yong)機(ji)理(li)反映(ying)在(zai)(zai)(zai)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)組(zu)(zu)(zu)織內(nei)可(ke)(ke)(ke)改(gai)(gai)(gai)善腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)內(nei)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)流動(dong)(dong)力(li)學對(dui)(dui)中(zhong)、重(zhong)(zhong)度(du)(du)(du)(du)(du)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)心臟肥(fei)厚(hou)(hou)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)使(shi)(shi)用(yong)(yong)(yong)(yong)ACEI尚(shang)可(ke)(ke)(ke)減(jian)(jian)(jian)少或(huo)(huo)抑(yi)制(zhi)(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)緊(jin)張(zhang)(zhang)素(su)(su)(su)(su)(su)Ⅱ促(cu)心肌(ji)(ji)、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)平滑(hua)肌(ji)(ji)增(zeng)生(sheng)(sheng)(sheng)肥(fei)大(da)(da)和(he)(he)(he)(he)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)壁中(zhong)層增(zeng)厚(hou)(hou)的(de)(de)(de)(de)作用(yong)(yong)(yong)(yong)此對(dui)(dui)防止慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)壁增(zeng)厚(hou)(hou)和(he)(he)(he)(he)心肌(ji)(ji)細胞(bao)增(zeng)生(sheng)(sheng)(sheng)肥(fei)大(da)(da)十分(fen)(fen)有(you)(you)(you)(you)助但ACEI引(yin)(yin)(yin)起腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)出(chu)(chu)(chu)(chu)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)小(xiao)動(dong)(dong)脈(mo)(mo)張(zhang)(zhang)力(li)降(jiang)(jiang)(jiang)低(di)(di)(di)有(you)(you)(you)(you)時(shi)(shi)(shi)(shi)可(ke)(ke)(ke)使(shi)(shi)GFR下降(jiang)(jiang)(jiang)故在(zai)(zai)(zai)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)時(shi)(shi)(shi)(shi)使(shi)(shi)用(yong)(yong)(yong)(yong)ACEI劑(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)(liang)不(bu)(bu)(bu)宜過(guo)(guo)大(da)(da)且應(ying)(ying)(ying)(ying)(ying)(ying)(ying)密切(qie)觀(guan)察腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)更不(bu)(bu)(bu)宜使(shi)(shi)用(yong)(yong)(yong)(yong)保(bao)鉀(jia)利(li)尿(niao)(niao)(niao)(niao)劑(ji)(ji)(ji)(ji)(ji)以免發生(sheng)(sheng)(sheng)高(gao)(gao)(gao)(gao)鉀(jia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)常(chang)(chang)用(yong)(yong)(yong)(yong)藥(yao)(yao)物為(wei)卡托普(pu)(pu)(pu)利(li)12.5~25mg一(yi)(yi)次(ci)(ci)(ci)每(mei)日(ri)(ri)(ri)2~3次(ci)(ci)(ci);或(huo)(huo)苯那(nei)普(pu)(pu)(pu)利(li)(洛汀新)每(mei)日(ri)(ri)(ri)1~2次(ci)(ci)(ci)每(mei)次(ci)(ci)(ci)10mg或(huo)(huo)依那(nei)普(pu)(pu)(pu)利(li)10mg每(mei)日(ri)(ri)(ri)1次(ci)(ci)(ci)或(huo)(huo)西(xi)那(nei)普(pu)(pu)(pu)利(li)2.5~5mg每(mei)日(ri)(ri)(ri)一(yi)(yi)次(ci)(ci)(ci)苯那(nei)普(pu)(pu)(pu)利(li)、西(xi)那(nei)普(pu)(pu)(pu)利(li)與(yu)(yu)依那(nei)普(pu)(pu)(pu)利(li)為(wei)長效ACEI若未(wei)能(neng)(neng)控(kong)制(zhi)(zhi)(zhi)高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)可(ke)(ke)(ke)加(jia)用(yong)(yong)(yong)(yong)氨氯(lv)地(di)平(絡活(huo)(huo)喜)5~10mg每(mei)日(ri)(ri)(ri)1~2次(ci)(ci)(ci)5.腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)病(bing)(bing)(bing)(bing)(bing)綜(zong)合征治療(liao)(liao)(liao)過(guo)(guo)程中(zhong)出(chu)(chu)(chu)(chu)現(xian)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)處(chu)理(li)慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)病(bing)(bing)(bing)(bing)(bing)型水(shui)(shui)(shui)(shui)腫期(qi)(qi)和(he)(he)(he)(he)水(shui)(shui)(shui)(shui)腫消退(tui)期(qi)(qi)GFR常(chang)(chang)有(you)(you)(you)(you)不(bu)(bu)(bu)同(tong)程度(du)(du)(du)(du)(du)降(jiang)(jiang)(jiang)低(di)(di)(di)它與(yu)(yu)下列因(yin)(yin)素(su)(su)(su)(su)(su)有(you)(you)(you)(you)關(guan):①病(bing)(bing)(bing)(bing)(bing)理(li)活(huo)(huo)動(dong)(dong)性(xing)(xing)病(bing)(bing)(bing)(bing)(bing)變程度(du)(du)(du)(du)(du);②腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)間(jian)(jian)質(zhi)(zhi)水(shui)(shui)(shui)(shui)腫;③腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)超濾系(xi)數減(jian)(jian)(jian)少;④血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)容量(liang)(liang)(liang)(liang)減(jian)(jian)(jian)少(7%~38%病(bing)(bing)(bing)(bing)(bing)例(li));⑤較大(da)(da)量(liang)(liang)(liang)(liang)激(ji)(ji)(ji)素(su)(su)(su)(su)(su)應(ying)(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)(yong)引(yin)(yin)(yin)起體內(nei)高(gao)(gao)(gao)(gao)分(fen)(fen)解(jie)代謝;⑥對(dui)(dui)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)臟有(you)(you)(you)(you)損害藥(yao)(yao)物的(de)(de)(de)(de)應(ying)(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)(yong);⑦間(jian)(jian)質(zhi)(zhi)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan);⑧腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)靜(jing)(jing)脈(mo)(mo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)栓(shuan)形成(cheng)臨床(chuang)上(shang)及時(shi)(shi)(shi)(shi)判斷(duan)原因(yin)(yin)常(chang)(chang)不(bu)(bu)(bu)容易除(chu)①、⑥和(he)(he)(he)(he)⑦項須及時(shi)(shi)(shi)(shi)處(chu)理(li)外(wai)(wai)(wai)其他若無(wu)感染情況有(you)(you)(you)(you)時(shi)(shi)(shi)(shi)需(xu)(xu)耐心等(deng)(deng)(deng)待不(bu)(bu)(bu)能(neng)(neng)過(guo)(guo)分(fen)(fen)積極;合并急(ji)性(xing)(xing)間(jian)(jian)質(zhi)(zhi)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)無(wu)論是疾(ji)病(bing)(bing)(bing)(bing)(bing)本身免疫反應(ying)(ying)(ying)(ying)(ying)(ying)(ying)藥(yao)(yao)物過(guo)(guo)敏(min)反應(ying)(ying)(ying)(ying)(ying)(ying)(ying)使(shi)(shi)用(yong)(yong)(yong)(yong)短(duan)程偏大(da)(da)劑(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)(liang)激(ji)(ji)(ji)素(su)(su)(su)(su)(su)常(chang)(chang)可(ke)(ke)(ke)降(jiang)(jiang)(jiang)低(di)(di)(di)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)應(ying)(ying)(ying)(ying)(ying)(ying)(ying)及時(shi)(shi)(shi)(shi)處(chu)理(li)6.抗凝(ning)治療(liao)(liao)(liao)我院(yuan)對(dui)(dui)400多(duo)(duo)例(li)各(ge)種病(bing)(bing)(bing)(bing)(bing)理(li)類型腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)伴高(gao)(gao)(gao)(gao)凝(ning)狀態及腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)內(nei)纖維蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)樣(yang)壞死者(zhe)(zhe)(zhe)(zhe)聯合應(ying)(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)(yong)肝素(su)(su)(su)(su)(su)50~80mg/日(ri)(ri)(ri)和(he)(he)(he)(he)尿(niao)(niao)(niao)(niao)激(ji)(ji)(ji)酶(mei)2~8萬(wan)u/d靜(jing)(jing)脈(mo)(mo)滴注(2~8周)的(de)(de)(de)(de)治療(liao)(liao)(liao)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)常(chang)(chang)有(you)(you)(you)(you)不(bu)(bu)(bu)同(tong)程度(du)(du)(du)(du)(du)的(de)(de)(de)(de)改(gai)(gai)(gai)善無(wu)一(yi)(yi)例(li)發生(sheng)(sheng)(sheng)嚴重(zhong)(zhong)的(de)(de)(de)(de)出(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)對(dui)(dui)頑固(gu)性(xing)(xing)或(huo)(huo)難(nan)治性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)靜(jing)(jing)脈(mo)(mo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)栓(shuan)形成(cheng)者(zhe)(zhe)(zhe)(zhe)經腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)動(dong)(dong)、靜(jing)(jing)脈(mo)(mo)插管(guan)技術注射尿(niao)(niao)(niao)(niao)激(ji)(ji)(ji)酶(mei)20萬(wan)u治療(liao)(liao)(liao)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)靜(jing)(jing)脈(mo)(mo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)栓(shuan)形成(cheng)取得(de)良(liang)好(hao)療(liao)(liao)(liao)效7.高(gao)(gao)(gao)(gao)尿(niao)(niao)(niao)(niao)酸(suan)(suan)(suan)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)處(chu)理(li)少數慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)合并高(gao)(gao)(gao)(gao)尿(niao)(niao)(niao)(niao)酸(suan)(suan)(suan)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)尿(niao)(niao)(niao)(niao)酸(suan)(suan)(suan)增(zeng)高(gao)(gao)(gao)(gao)與(yu)(yu)內(nei)生(sheng)(sheng)(sheng)肌(ji)(ji)酐清除(chu)率降(jiang)(jiang)(jiang)低(di)(di)(di)并不(bu)(bu)(bu)呈比例(li)說明高(gao)(gao)(gao)(gao)尿(niao)(niao)(niao)(niao)酸(suan)(suan)(suan)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)不(bu)(bu)(bu)是氮(dan)(dan)(dan)(dan)(dan)質(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)結果(guo)使(shi)(shi)用(yong)(yong)(yong)(yong)別嘌呤醇(chun)降(jiang)(jiang)(jiang)低(di)(di)(di)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)尿(niao)(niao)(niao)(niao)酸(suan)(suan)(suan)可(ke)(ke)(ke)改(gai)(gai)(gai)善腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)功(gong)能(neng)(neng)但劑(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)(liang)宜小(xiao)用(yong)(yong)(yong)(yong)藥(yao)(yao)時(shi)(shi)(shi)(shi)間(jian)(jian)要(yao)短(duan)減(jian)(jian)(jian)藥(yao)(yao)要(yao)快不(bu)(bu)(bu)宜用(yong)(yong)(yong)(yong)增(zeng)加(jia)尿(niao)(niao)(niao)(niao)酸(suan)(suan)(suan)排泄的(de)(de)(de)(de)藥(yao)(yao)物8.其他腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)時(shi)(shi)(shi)(shi)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)組(zu)(zu)(zu)織中(zhong)浸潤的(de)(de)(de)(de)炎(yan)(yan)(yan)(yan)癥(zheng)(zheng)(zheng)(zheng)細胞(bao)可(ke)(ke)(ke)產(chan)生(sheng)(sheng)(sheng)大(da)(da)量(liang)(liang)(liang)(liang)氧(yang)(yang)(yang)(yang)自由(you)基腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)系(xi)膜細胞(bao)受到(dao)免疫復合物膜攻(gong)擊(ji)復合物和(he)(he)(he)(he)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)小(xiao)板激(ji)(ji)(ji)活(huo)(huo)因(yin)(yin)子等(deng)(deng)(deng)刺激(ji)(ji)(ji)也可(ke)(ke)(ke)產(chan)生(sheng)(sheng)(sheng)活(huo)(huo)性(xing)(xing)氧(yang)(yang)(yang)(yang)氧(yang)(yang)(yang)(yang)自由(you)基可(ke)(ke)(ke)直接損傷(shang)或(huo)(huo)通過(guo)(guo)膜脂(zhi)質(zhi)(zhi)過(guo)(guo)氧(yang)(yang)(yang)(yang)化(hua)反應(ying)(ying)(ying)(ying)(ying)(ying)(ying)破(po)壞腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)基膜、上(shang)皮(pi)細胞(bao)此外(wai)(wai)(wai)許多(duo)(duo)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)疾(ji)病(bing)(bing)(bing)(bing)(bing)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)抗氧(yang)(yang)(yang)(yang)化(hua)能(neng)(neng)力(li)低(di)(di)(di)下表(biao)(biao)現(xian)為(wei)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)抗氧(yang)(yang)(yang)(yang)化(hua)酶(mei)如(ru)(ru)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)清超氧(yang)(yang)(yang)(yang)歧化(hua)酶(mei)減(jian)(jian)(jian)少和(he)(he)(he)(he)抗氧(yang)(yang)(yang)(yang)化(hua)劑(ji)(ji)(ji)(ji)(ji)維生(sheng)(sheng)(sheng)素(su)(su)(su)(su)(su)B2、E及鋅和(he)(he)(he)(he)硒等(deng)(deng)(deng)降(jiang)(jiang)(jiang)低(di)(di)(di)因(yin)(yin)此臨床(chuang)上(shang)如(ru)(ru)何(he)抑(yi)制(zhi)(zhi)(zhi)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)組(zu)(zu)(zu)織氧(yang)(yang)(yang)(yang)自由(you)基產(chan)生(sheng)(sheng)(sheng)需(xu)(xu)否應(ying)(ying)(ying)(ying)(ying)(ying)(ying)用(yong)(yong)(yong)(yong)抗氧(yang)(yang)(yang)(yang)化(hua)劑(ji)(ji)(ji)(ji)(ji)、用(yong)(yong)(yong)(yong)哪種抗氧(yang)(yang)(yang)(yang)化(hua)劑(ji)(ji)(ji)(ji)(ji)為(wei)好(hao)均值得(de)進(jin)一(yi)(yi)步觀(guan)察和(he)(he)(he)(he)積累(lei)經驗慢(man)(man)(man)性(xing)(xing)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)炎(yan)(yan)(yan)(yan)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)病(bing)(bing)(bing)(bing)(bing)綜(zong)合征常(chang)(chang)伴有(you)(you)(you)(you)不(bu)(bu)(bu)同(tong)程度(du)(du)(du)(du)(du)高(gao)(gao)(gao)(gao)脂(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)已(yi)知高(gao)(gao)(gao)(gao)膽(dan)固(gu)醇(chun)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)癥(zheng)(zheng)(zheng)(zheng)特別是低(di)(di)(di)密度(du)(du)(du)(du)(du)脂(zhi)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)變可(ke)(ke)(ke)引(yin)(yin)(yin)發腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)組(zu)(zu)(zu)織產(chan)生(sheng)(sheng)(sheng)脂(zhi)質(zhi)(zhi)過(guo)(guo)氧(yang)(yang)(yang)(yang)化(hua)物加(jia)速腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)球(qiu)(qiu)(qiu)(qiu)(qiu)(qiu)硬化(hua)和(he)(he)(he)(he)腎(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)(shen)小(xiao)管(guan)損傷(shang)提高(gao)(gao)(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)白(bai)(bai)(bai)(bai)蛋(dan)(dan)(dan)白(bai)(bai)(bai)(bai)水(shui)(shui)(shui)(shui)平可(ke)(ke)(ke)降(jiang)(jiang)(jiang)低(di)(di)(di)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)脂(zhi)濃(nong)度(du)(du)(du)(du)(du)

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