CKD闆荤闁ユ寚绀虹噲甯镐寒涓嶆粎
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| 闂�(gu膩n) 閸� 瑭� | CKD闆荤闁ヤ娇鐢ㄩ潏娲�,CKD闆荤闁ュ伐浣滃師鐞�,CKD闆荤闁ョ敘(ch菐n)鍝佷寒榛�,CKD闆荤闁ョ敘(ch菐n)鍝佷寒榛�,CKD闆荤闁� | ||
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CKD闆荤闁ユ寚绀虹噲甯镐寒涓嶆粎
涓�銆丆KD闆荤闁ョ殑宸ヤ綔鍘熺悊
CKD闆荤闁ユ槸涓�绋父鐢ㄧ殑鑷嫊鎺у埗鍏冧欢锛屽畠鐨勪富瑕佷綔鐢ㄦ槸鎺у埗娴侀珨锛堝姘ｉ珨銆佹恫楂旂瓑锛夌殑閫氭柗銆備竴鑸締瑾紝鐣�(d膩ng)闆荤闁ュ伐浣滄檪锛岄浕纾侀惖鏈冨彈鍒伴浕婧愮殑浣滅敤褰㈡垚纾佸牬锛屽皣闁ラ杸鎵撻枊鎴栭棞(gu膩n)闁夛紝寰炶�屾帶鍒舵祦楂旂殑娴佸嫊銆傚鏋滈浕纾侀枼浜噲涓嶆粎锛屽墖琛ㄦ槑瀹冩矑鏈夋甯稿湴瀹屾垚闁嬮棞(gu膩n)鍕曚綔銆�
浜屻�侀浕璺晠闅�
CKD闆荤闁ョ殑浜噲涓嶆粎鏈夊彲鑳芥槸鐢变簬闆昏矾鏁呴殰鎵�鑷淬�傞浕纾侀枼涓�鑸兘鏄敱闆绘簮銆佹帶鍒跺櫒銆佺窔鍦堝拰闁ラ杸绲勬垚鐨勩�傚鏋滃叾涓换浣曚竴鍊嬮儴鍒嗗嚭鐝�(xi脿n)浜嗘晠闅滐紝闆荤闁ラ兘鏈冨嚭鐝�(xi脿n)浜噲涓嶆粎鐨勬儏娉併�傚父瑕嬬殑鏁呴殰鍖呮嫭闆绘簮鏁呴殰銆佹帶鍒跺櫒鏁呴殰銆佺窔璺帴瑙镐笉鑹瓑銆�
涓夈�丆KD闆荤闁ユ悕澹�
CKD闆荤闁ョ殑浜噲涓嶆粎閭勫彲鑳芥槸鐢变簬闆荤閻垫悕澹炴墍鑷淬�傞浕纾侀枼鐨勯浕纾侀惖鏈冨彈鍒伴浕婧愮殑浣滅敤锛屽舰鎴愮鍫达紝鎺у埗闁ラ杸鐨勯枊鍟熷拰闂�(gu膩n)闁夈�傚鏋滈浕纾侀惖鎼嶅锛屽畠灏辩劇娉曞舰鎴愯冻澶犵殑纾佸牬锛屽緸鑰岀劇娉曢枊鍟熸垨闂�(gu膩n)闁夐枼闁�锛屽皫(d菐o)鑷撮浕纾侀枼浜噲涓嶆粎銆�
鍥涖�佽В姹烘柟娉�
閲濆皪CKD闆荤闁ヤ寒鐕堜笉婊呯殑鍟忛锛屾垜鍊戝彲浠ュ厛妾㈡煡闆昏矾鏄惁姝ｅ父锛岀櫦(f膩)鐝�(xi脿n)绶氳矾鏁呴殰鍙婃檪淇京(f霉)銆傚鏋滈浕璺甯革紝鎴戝�戦渶瑕侀��(j矛n)涓�姝ユ鏌ラ浕纾侀惖鏄惁鎼嶅锛屽鏋滄悕澹為渶瑕佹洿鎻涖�傚湪鏇存彌闆荤闁ユ檪锛屽缓璀伴伕鎿囨瑕�(gu墨)寤犲鐢熺敘(ch菐n)鐨勯珮璩�(zh矛)閲忛浕纾侀枼锛屼互纰轰繚闆荤闁ョ殑绌�(w臎n)瀹氭�у拰澹藉懡銆�
銆愮祼(ji茅)璜栥��
CKD闆荤闁ヤ寒鐕堜笉婊呯殑鍘熷洜鍙兘鏄敱浜庨浕璺晠闅滄垨闆荤閻垫悕澹炴墍鑷达紝瑙ｆ焙鏂规硶鏄嚌灏嶅叿楂旀儏娉侀��(j矛n)琛屾鏌ュ拰淇京(f霉)銆傚湪璩艰卜闆荤闁ユ檪锛岃閬告搰姝ｈ(gu墨)寤犲鐢熺敘(ch菐n)鐨勯珮璩�(zh矛)閲忛浕纾侀枼锛屼互纰轰繚闆荤闁ョ殑绌�(w臎n)瀹氭�у拰澹藉懡銆�
鍦ㄩ浕纾侀枼鐨勫伐浣滈亷绋嬩腑锛屾湁鏅傛渻鍑虹従(xi脿n)闆荤闁ョ劇娉曢棞(gu膩n)闁夌殑鐝�(xi脿n)璞★紝閫欏彲鑳芥渻灏嶇敓鐢�(ch菐n)閬庣▼閫犳垚涓嶈壇褰遍熆銆傜偤姝わ紝鎴戝�戦渶瑕佸垎鏋愰浕纾侀枼鐒℃硶闂�(gu膩n)闁夌殑鍘熷洜锛屽苟閲囧彇鐩告噳(y墨ng)鐨勮В姹哄皪绛栥��
涓�銆侀浕纾侀枼鐒℃硶闂�(gu膩n)闁夌殑鍘熷洜
1. 涓婚枼鑺垨閻靛嫊鑺殑瀵嗗皝浠跺凡鐮村
瀵嗗皝浠惰�佸寲锛氶暦鏅傞枔浣跨敤鍚庯紝瀵嗗皝浠跺彲鑳芥渻鐧�(f膩)鐢熺墿鐞嗘垨鍖栧(xu茅)璁婂寲锛屽皫(d菐o)鑷存�ц兘涓嬮檷銆�
鐣板父澹撳姏锛氱郴绲�(t菕ng)瓒呭鎴栨瑺澹撻兘鍙兘灏�(d菐o)鑷村瘑灏佷欢鍙楁悕銆�
瀹夎涓嶇暥(d膩ng)锛氬畨瑁濋亷绋嬩腑鐢ㄥ姏閬庡害鎴栦笉鍒颁綅锛屽彲鑳藉皪瀵嗗皝浠堕�犳垚鎼嶅銆�
鐣扮墿渚靛叆锛氬瘑灏佷欢鍛ㄥ湇鐨勯洔璩�(zh矛)鎴栭绮掑彲鑳芥渻鍔冨偡瀵嗗皝浠惰〃闈���
閫欎簺鍟忛鐨勫嚭鐝�(xi脿n)鍙兘鏈冨皫(d菐o)鑷村瘑灏佷欢娉勬紡銆佺郴绲�(t菕ng)涓嶇┅(w臎n)瀹氾紝鐢氳嚦鏁村�嬬郴绲�(t菕ng)鐧辩槗銆�
2. 绡�(ji茅)娴佸瓟骞宠 瀛斿牭濉炴潗鏂欒唱(zh矛)閲忥細
绡�(ji茅)娴佸瓟骞宠 瀛旂殑鏉愭枡璩�(zh矛)閲忎笉鍚堟牸锛屽皫(d菐o)鑷村瓟閬撳収(n猫i)閮ㄧ矖绯欙紝瀹规槗绌嶈仛闆滆唱(zh矛)銆�
浣跨敤涓嶇暥(d膩ng)锛氫娇鐢ㄧ挵(hu谩n)澧冩儭鍔ｆ垨鎿嶄綔涓嶇暥(d膩ng)锛屼緥濡傞洔璩�(zh矛)娣峰叆娴侀珨锛屽彲鑳芥渻灏�(d菐o)鑷寸瘈(ji茅)娴佸瓟骞宠 瀛斿牭濉炪��
宸ヨ棟缂洪櫡锛氱瘈(ji茅)娴佸瓟骞宠 瀛旂殑鍔犲伐宸ヨ棟涓嶅畬鍠勶紝瀛旈亾鍏�(n猫i)閮ㄥ彲鑳藉瓨鍦ㄦ瘺鍒烘垨鍑歌捣锛屽皫(d菐o)鑷村牭濉炪��
3. 娴侀珨婧害銆佺矘搴︽槸鍚﹂亷楂�
娴侀珨鐨勬韩搴﹀拰绮樺害涔熸渻褰遍熆闆荤闁ョ殑闂�(gu膩n)闁夋�ц兘銆傚鏋滄祦楂旂殑婧害鍜岀矘搴﹂亷楂橈紝鏈冨皫(d菐o)鑷撮浕纾侀枼鐒℃硶闂�(gu膩n)闁夈��
4. 闆滆唱(zh矛)閫�(j矛n)鍏ラ浕纾侀枼
澶栭儴鍘熷洜
锛�1锛夊伐浣滅挵(hu谩n)澧冧腑鍚湁闆滆唱(zh矛)锛氬湪绮夊〉銆佹埃楂旂瓑鐠�(hu谩n)澧冧笅锛岄浕纾侀枼鍦ㄥ伐浣滈亷绋嬩腑瀹规槗鍙楀埌澶栫晫闆滆唱(zh矛)鐨勪镜瑗层��
锛�2锛夌董璀�(h霉)涓嶇暥(d膩ng)锛氶暦鏅傞枔涓嶉��(j矛n)琛屾竻鐞嗗拰缍(h霉)锛屼篃鏈冨皫(d菐o)鑷撮洔璩�(zh矛)閫�(j矛n)鍏ラ浕纾侀枼銆�
鍏�(n猫i)閮ㄥ師鍥�
锛�1锛夐浕纾侀枼鍏�(n猫i)閮ㄥ瘑灏佷欢鑰佸寲锛氶暦鏅傞枔浣跨敤鍚庯紝瀵嗗皝浠跺彲鑳芥渻鍑虹従(xi脿n)鑰佸寲銆佽畩褰㈢瓑鍟忛锛屽皫(d菐o)鑷撮洔璩�(zh矛)閫�(j矛n)鍏ラ浕纾侀枼鍏�(n猫i)閮ㄣ��
锛�2锛夐浕纾侀枼鍏�(n猫i)閮ㄩ浂浠舵悕澹烇細濡傚綀绨с�佹椿濉炵瓑闆朵欢鎼嶅鍚庯紝鏈冧娇寰楀瘑灏佷笉鍤�(y谩n)锛岄洔璩�(zh矛)渚挎湁姗熸渻閫�(j矛n)鍏ラ浕纾侀枼銆�
5. 褰堢哀澹藉懡宸插埌鎴栬畩褰�
褰堢哀鏄浕纾侀枼鐨勯噸瑕侀儴浠讹紝濡傛灉褰堢哀澹藉懡宸插埌鎴栬畩褰紝鏈冨皫(d菐o)鑷撮浕纾侀枼鐒℃硶闂�(gu膩n)闁夈��
6. 宸ヤ綔闋荤巼澶珮灏�(d菐o)鑷村＝鍛藉凡鍒帮細
闁ラ杸宸ヤ綔闋荤巼閬庨珮鏈冨皪闁ラ杸鐨勫＝鍛界敘(ch菐n)鐢熻矤(f霉)闈㈠奖闊匡紝鐢氳嚦灏�(d菐o)鑷撮枼闁�澹藉懡绺煭
浜屻�佽В姹哄皪绛�
1. 鏇存彌鏂板瘑灏佷欢锛氶�欐槸鏈�鐩存帴涔熸槸鐨勬柟娉曘�備絾鏄紝鍦ㄦ洿鎻涘瘑灏佷欢鏅傦紝闇�瑕佹敞鎰忛伕鎿囪垏鍘熷瘑灏佷欢鐩稿尮閰嶇殑鏉愭枡鍜岃(gu墨)鏍硷紝浠ュ厤鍑虹従(xi脿n)涓嶅吋瀹圭殑鍟忛銆�
浣跨敤瀵嗗皝鑶狅細鍦ㄦ煇浜涙儏娉佷笅锛屽彲浠ュ湪涓婚枼鑺垨閻靛嫊鑺〃闈㈡秱涓婁竴灞ゅ瘑灏佽啝锛屽緸鑰岃捣鍒板瘑灏佷綔鐢ㄣ��
2. 閬告搰楂樿唱(zh矛)閲忕殑鍚堥噾閶间綔鐐虹瘈(ji茅)娴佸瓟骞宠 瀛旂殑鏉愭枡銆傞�欑ó鏉愭枡鍏锋湁楂樺挤搴︺�侀珮鑰愮（鎬с�佽�愯厫铦曠瓑鐗归粸锛屽彲浠ユ湁鏁堝湴鎻愰珮瀛旂殑浣跨敤澹藉懡銆傚悓鏅傦紝鎴戝�戦噰鐢ㄤ簡鍏堥��(j矛n)鐨勭殑鍏夊(xu茅)娓噺鎶�琛�(sh霉)锛岀⒑淇濆瓟鐨勫昂瀵稿拰褰㈢媭绮惧害锛屼娇瀛旂殑娴侀噺鍜屽鍔涙帶鍒舵洿鍔犵┅(w臎n)瀹氥��
3. 瑾�(di脿o)鏁存祦楂旀韩搴︺�佺矘搴︾瓑鍙冩暩(sh霉)锛氬鏋滄祦楂旂殑婧害鍜岀矘搴﹂亷楂橈紝闇�瑕佽(di脿o)鏁存祦楂旂殑婧害鍜岀矘搴︾瓑鍙冩暩(sh霉)锛屼互淇濊瓑闆荤闁ョ殑宸ヤ綔鎬ц兘銆�
4. 娓呯悊闆滆唱(zh矛)
鐗╃悊鏂规硶
锛�1锛夊畾鏈熸竻鐞嗭細瀹氭湡灏嶉浕纾侀枼閫�(j矛n)琛屾竻鐞嗭紝娓呴櫎澶栭儴闆滆唱(zh矛)锛屼繚鎸佹竻娼斻��
锛�2锛夋洿鎻涘瘑灏佷欢锛氳嫢瀵嗗皝浠跺嚭鐝�(xi脿n)鑰佸寲銆佽畩褰㈢瓑鍟忛锛屾噳(y墨ng)鍙婃檪閫�(j矛n)琛屾洿鎻涖��
鍖栧(xu茅)鏂规硶
锛�1锛変娇鐢ㄦ竻娲楀姂锛氶噰鐢ㄥ皥闁�鐨勬竻娲楀姂锛屽皪闆荤闁ラ��(j矛n)琛屾竻娲楋紝鏈夋晥娓呴櫎鍏�(n猫i)閮ㄧ殑闆滆唱(zh矛)銆�
锛�2锛夋洿鎻涙饯婊戞补锛氭饯婊戞补鍙互鏈夋晥娓涘皯鎽╂摝锛岄槻姝㈤洔璩�(zh矛)閫�(j矛n)鍏ラ浕纾侀枼鍏�(n猫i)閮ㄣ��
5. 鏇存彌褰堢哀锛氬鏋滃綀绨у＝鍛藉凡鍒版垨璁婂舰锛岄渶瑕佹洿鎻涙柊鐨勫綀绨э紝浠ヤ繚璀夐浕纾侀枼鐨勫伐浣滄�ц兘銆�
6. 闇�瑕侀噰鍙栫浉鎳�(y墨ng)鐨勮В姹烘柟娉曪紝鍖呮嫭鍎�(y艒u)鍖栬ō(sh猫)瑷堛�佹帶鍒舵韩搴﹀拰缍(h霉)淇濋(y菐ng)绛夋柟闈��傞�氶亷閫欎簺鏂规硶锛屽彲浠ユ湁鏁堝湴寤堕暦闁ラ杸鐨勫＝鍛斤紝淇濊瓑鐢熺敘(ch菐n)绶氱殑姝ｅ父閬嬭锛屽悓鏅備篃鍙互闄嶄綆闁ラ杸鐨勭董璀�(h霉)鎴愭湰锛屾彁楂樹紒妤�(y猫)鐨勭稉(j墨ng)婵熸晥鐩娿��
涓夈�佹敞鎰忎簨闋�
1. 鍦ㄦ搷浣滈浕纾侀枼涔嬪墠鎳�(y墨ng)纰轰繚闂�(gu膩n)闁夐浕婧愬苟鍒囨柗姘ｆ簮锛岄伩鍏嶅畨鍏ㄤ簨鏁呫��
2. 涓嶈璁撶暟鐗╁牭濉為浕纾侀枼锛岄伩鍏嶅奖闊块浕纾侀枼鐨勬甯稿伐浣溿��
3. 鍦ㄧ董璀�(h霉)闆荤闁ユ檪锛屾噳(y墨ng)娉ㄦ剰娓呮礂鍜岄槻鑵愯潟锛屼互淇濊瓑闆荤闁ョ殑宸ヤ綔鎬ц兘銆�
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