China News Service, Guangzhou, March 11 (Reporter Minjie Cai) The 11th is the 16th World Kidney Day.
In an interview recently, Yu Xueqing, director of Guangdong Provincial People’s Hospital, said that the incidence of chronic kidney disease in China is about 10.6%. Early intervention and prevention can help most patients avoid the risk of uremia. In addition, we must be especially alert to kidney damage caused by nephrotoxic drugs.
According to the Global Health Estimates Report 2019 released by the World Health Organization on December 9, 2020, kidney disease has risen to one of the top ten causes of death in the world.
The results of a national cross-sectional epidemiological survey show that the number of people suffering from chronic kidney disease in China is about 150 million, of which only 12.5% (about 18.9 million) are known to have the disease.
Yu Xueqing said that the risk factors of chronic kidney disease are related to diseases such as age, hypertension, and hyperglycemia.
The survey found that the incidence of chronic kidney disease in rural areas is higher than that in urban areas. "Although chronic kidney disease is not a genetic disease, it is genetically predisposed. The incidence of first-degree relatives of chronic kidney disease is twice that of the general population."
As for the high-risk factors of chronic kidney disease in China, renal damage caused by nephrotoxic drugs needs to be paid attention to. This includes both western medicine and traditional Chinese medicine.
For example, Chinese medicines containing aristolochic acid, such as Guanmutong, Zhushalian, and Fenfangji, can easily cause kidney damage. The painkillers in western medicine should be used with caution when the kidneys are not good.
In the prevention of chronic kidney disease, Yu Xueqing introduced that the first is the prevention of risk factors, such as patients with high blood pressure and hyperglycemia, by controlling blood pressure and blood sugar, and avoiding nephrotoxic drugs.
Ordinary people should also pay attention to a low-salt diet, eat high-quality low-protein, and drink at least 1.5 liters of water a day to reduce risk factors.
Yu Xueqing said that the early symptoms of chronic kidney disease are not easy to detect. It is recommended to find changes in blood and urine routine indicators in time through routine physical examination. "If there are white blood cells and red blood cells in the urine, especially proteinuria, we must pay attention."
Yu Xueqing reminded that there is an interaction between chronic kidney disease and cardiovascular disease.
The incidence of cardiovascular events in patients with chronic kidney disease is five times that of the general population. After kidney disease patients enter the uremia stage, about half of them die from cardiovascular disease.
On the other hand, problems such as vascular sclerosis and high blood pressure will further aggravate kidney damage. Therefore, the two are mutually cause and effect, and the relationship between them is urgent and aggravated.
In view of the current problems of large numbers of patients and insufficient medical resources, Yu Xueqing believes that online medical care, which uses the resources of hospitals and doctors to provide consultation, guidance, and services to patients outside the hospital, is beneficial to patients and is an important supplement. At the same time, it must be combined with the hospital's review and treatment.
In December last year, led by Yu Xueqing and other clinical experts in the Department of Nephrology, the Chronic Kidney Disease Management Center project, initiated by the Kidney Disease Prevention and Treatment Branch of the China Medical Care International Exchange Promotion Association, was officially launched, with the aim of using the Internet. , Artificial intelligence, big data and other technologies to carry out the whole process management of the disease for patients with chronic kidney disease, delay the progress of the disease, prolong life and improve the quality of life.
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