Néphroprotection. Comment ralentir l’évolution de l’insuffisance rénale chronique ?

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• 作者：Thierry Hannedouche ; Thierry Krummel ; Laura Parvez-Braun
• 关键词：Chronic renal failure ; Nephroprotection ; ACE inhibitors ; Angiotensin receptor blockers ; Interventional studies
• 刊名：Néphrologie & Thérapeutique
• 出版年：2005
• 出版时间：May 2005
• 年：2005
• 卷：1
• 期：2
• 页码：135-144
• 全文大小：144 K

文摘

Most nephropathies are characterized by a progression that may result in end-stage renal failure (ESRF). Apart from the specific treatment implemented when possible, ESRF may be delayed by nephroprotective therapy. Following the definition of the risk factors likely to induce progressive renal disease, the various therapeutic strategies that may play a nephroprotective role are reviewed. The potential results are described with regard to published data, in particular randomised trials, as recommended by the evidence-based medicine principles. Blockade of the renin-angiotensin system plays a major role in terms of nephroprotection. However, this strategy should not replace lifestyle measures and pharmacological treatment of the metabolic disorders associated to nephropathies.