慢性肾衰竭继发性甲旁亢与骨代谢异常内 容CKD-MBD的KDIGO指南矿物质代谢异常继发性甲状旁腺功能亢进ROD防治策略ROD治疗问题的探讨阿法迪三治疗临床实践CKD-MBD的KDIGO指南“肾脏疾病改善全球预后”指导委员会( KDIGO) KDIGO.Kidney.Int,2006,69:1945-1953Kidney Disease: Improving Global Outcomes (KDIGO)KDIGO is a global non-profit foundation dedicated to improving the care and outcomes of kidney disease patients worldwide.CKDMBD的KDIGO指南l CKD-MBD的概念 由于慢性肾衰竭肾性骨病均伴有钙磷代谢紊乱及甲状旁腺功能紊乱,近年来将肾性骨病的概念扩展为“慢性肾脏病矿物质骨代谢异常” 慢性肾脏病-矿物质和骨代谢异常(CKD-MBD) (chronic kidney disease-mineral and bone disorder) l CKD-MBD是全