{"id":16703,"date":"2026-09-03T09:00:00","date_gmt":"2026-09-02T23:00:00","guid":{"rendered":"https:\/\/geoffreychen.com\/?p=16703"},"modified":"2026-09-03T09:00:00","modified_gmt":"2026-09-02T23:00:00","slug":"egfr-59-60-kidney-equation","status":"publish","type":"post","link":"https:\/\/geoffreychen.com\/zh\/egfr-59-60-kidney-equation\/","title":{"rendered":"eGFR\u768459\u4e0e60\u4e4b\u95f4\uff0c\u4e00\u6761\u516c\u5f0f\u600e\u6837\u6539\u53d8\u6162\u6027\u80be\u75c5\u5224\u65ad\uff1f"},"content":{"rendered":"<\/p>\n<p><em>\u300a\u5f53\u6570\u5b57\u5f00\u59cb\u505a\u51b3\u5b9a\u300b\u00b7 \u7b2c\u4e09\u5b63\u201c\u5e73\u5747\u6570\u6ca1\u6709\u770b\u89c1\u7684\u4eba\u201d\u00b7 \u7b2c\u4e94\u7bc7<\/em><\/p>\n<h2>\u4e00\u3001\u5316\u9a8c\u5355\u4e0a\u768459\u4e0d\u662f\u80be\u810f\u76f4\u63a5\u8bf4\u51fa\u7684\u8bdd<\/h2>\n<p>\u4e24\u6b21\u9a8c\u8840\u76f8\u9694\u51e0\u4e2a\u6708\uff0c\u4e00\u6b21eGFR\u4e3a60\uff0c\u53e6\u4e00\u6b21\u4e3a59\u3002\u6570\u5b57\u53ea\u5dee\u4e00\u4e2a\u5355\u4f4d\uff0c\u5374\u521a\u597d\u8de8\u8fc7\u6162\u6027\u80be\u75c5\u5b9a\u4e49\u4e2d\u7684\u91cd\u8981\u8fb9\u754c\uff1a\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\u4f4e\u4e8e60 mL\/min\/1.73m\u00b2\u5e76\u6301\u7eed\u81f3\u5c11\u4e09\u4e2a\u6708\uff0c\u53ef\u4ee5\u6784\u6210\u6162\u6027\u80be\u75c5\u6807\u51c6\u4e4b\u4e00\u3002\u82e5\u6570\u503c\u572860\u4ee5\u4e0a\uff0c\u5219\u901a\u5e38\u8fd8\u9700\u8981\u767d\u86cb\u767d\u5c3f\u3001\u5f71\u50cf\u6216\u5176\u4ed6\u80be\u635f\u5bb3\u8bc1\u636e\uff0c\u624d\u7b26\u5408\u8bca\u65ad\u3002<a href=\"https:\/\/kdigo.org\/wp-content\/uploads\/2024\/03\/KDIGO-2024-CKD-Guideline.pdf\" target=\"_blank\" rel=\"noopener\">KDIGO\uff1a2024 Clinical Practice Guideline for CKD<\/a><\/p>\n<p>\u4f46\u5316\u9a8c\u5ba4\u901a\u5e38\u6ca1\u6709\u76f4\u63a5\u6d4b\u91cf\u80be\u810f\u6bcf\u5206\u949f\u8fc7\u6ee4\u4e86\u591a\u5c11\u8840\u6d46\u3002eGFR\u4e2d\u7684\u201ce\u201d\u662festimated\uff1a\u5b83\u7528\u8840\u6e05\u808c\u9150\u3001\u5e74\u9f84\u548c\u51fa\u751f\u6027\u522b\u7b49\u8d44\u6599\uff0c\u901a\u8fc7CKD-EPI\u516c\u5f0f\u4f30\u7b97\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\uff0c\u5e76\u628a\u7ed3\u679c\u6807\u51c6\u5316\u52301.73\u5e73\u65b9\u7c73\u4f53\u8868\u9762\u79ef\u3002<\/p>\n<p>\u4e8e\u662f\uff0c\u4e00\u4e2a\u9884\u6d4b\u516c\u5f0f\u8fdb\u5165\u8bca\u65ad\u3001\u5206\u671f\u3001\u7528\u836f\u548c\u8f6c\u8bca\u3002\u5b83\u628a\u96be\u4ee5\u65e5\u5e38\u76f4\u63a5\u6d4b\u91cf\u7684\u5668\u5b98\u529f\u80fd\u53d8\u6210\u53ef\u666e\u904d\u53d6\u5f97\u7684\u6570\u5b57\uff0c\u4e5f\u628a\u7fa4\u4f53\u5e73\u5747\u5173\u7cfb\u5e26\u5230\u5177\u4f53\u75c5\u4eba\u8eab\u4e0a\u3002<\/p>\n<p>59\u4e0e60\u4e4b\u95f4\u662f\u5426\u771f\u6709\u4e00\u9053\u751f\u7406\u65ad\u5c42\uff1f\u5982\u679c\u6ca1\u6709\uff0c\u4e3a\u4ec0\u4e48\u533b\u5b66\u4ecd\u9700\u8981\u8fd9\u6761\u7ebf\uff1f<\/p>\n<h2>\u4e8c\u3001\u808c\u9150\u662f\u7ebf\u7d22\uff0c\u4e0d\u662f\u80be\u529f\u80fd\u672c\u8eab<\/h2>\n<p>\u808c\u9150\u4e3b\u8981\u6765\u81ea\u808c\u8089\u4ee3\u8c22\uff0c\u7ecf\u80be\u810f\u6392\u51fa\u3002\u80be\u529f\u80fd\u4e0b\u964d\u65f6\uff0c\u8840\u4e2d\u808c\u9150\u5f80\u5f80\u5347\u9ad8\uff0c\u56e0\u6b64\u5b83\u662f\u6709\u7528\u7ebf\u7d22\u3002\u4f46\u76f8\u540c\u80be\u529f\u80fd\u7684\u4eba\uff0c\u808c\u8089\u91cf\u3001\u996e\u98df\u3001\u5e74\u9f84\u548c\u8eab\u4f53\u6784\u6210\u4e0d\u540c\uff0c\u808c\u9150\u53ef\u4ee5\u4e0d\u540c\uff1b\u76f8\u540c\u808c\u9150\u4e5f\u4e0d\u8868\u793a\u76f8\u540c\u6ee4\u8fc7\u80fd\u529b\u3002<\/p>\n<p>\u516c\u5f0f\u6b63\u662f\u4e3a\u4fee\u6b63\u8fd9\u79cd\u5dee\u5f02\u800c\u4ea7\u751f\u3002\u5b83\u6839\u636e\u7fa4\u4f53\u8d44\u6599\u4f30\u8ba1\u5728\u67d0\u4e2a\u5e74\u9f84\u3001\u6027\u522b\u548c\u808c\u9150\u7ec4\u5408\u4e0b\u6700\u53ef\u80fd\u7684GFR\u3002\u6fb3\u6d32\u7687\u5bb6\u75c5\u7406\u5b66\u5bb6\u5b66\u9662\u8bf4\u660e\uff0ceGFR\u4e00\u822c\u7528CKD-EPI\u8ba1\u7b97\uff0c\u51c6\u786e\u5ea6\u7ea6\u4e3a\u6b63\u8d1f30%\uff1b\u5728\u6781\u7aef\u808c\u8089\u53d1\u8fbe\u3001\u80a5\u80d6\u3001\u6d88\u7626\u3001\u622a\u762b\u7b49\u8eab\u4f53\u6784\u6210\u60c5\u51b5\u4e0b\u51c6\u786e\u6027\u4e0b\u964d\uff0c\u4e5f\u4e0d\u9002\u7528\u4e8e\u513f\u7ae5\u3001\u6000\u5b55\u548c\u900f\u6790\u4eba\u7fa4\u3002\u7ed3\u679c\u4e0d\u786e\u5b9a\u65f6\uff0c\u53ef\u80fd\u9700\u8981\u6b63\u5f0fGFR\u6d4b\u91cf\u6216\u808c\u9150\u6e05\u9664\u7387\u3002<a href=\"https:\/\/www.rcpa.edu.au\/Manuals\/RCPA-Manual\/Pathology-Tests\/G\/GFR-estimated\" target=\"_blank\" rel=\"noopener\">RCPA\uff1aGFR estimated<\/a><\/p>\n<p>\u201c\u6b63\u8d1f30%\u201d\u4e0d\u662f\u8bf4\u6bcf\u6b21\u90fd\u4f1a\u5dee\u8fd9\u4e48\u591a\uff0c\u800c\u662f\u63d0\u9192\u8bfb\u8005\u4e0d\u8981\u628a\u5c4f\u5e55\u4e0a\u7684\u6574\u6570\u5f53\u6210\u76f4\u63a5\u4e14\u7cbe\u786e\u7684\u5668\u5b98\u8bfb\u6570\u3002\u4e00\u4e2a\u62a5\u544a\u4e3a59\u7684\u4eba\uff0c\u771f\u5b9e\u6ee4\u8fc7\u7387\u5e76\u4e0d\u5fc5\u7136\u6bd4\u62a5\u544a60\u7684\u4eba\u66f4\u5dee\u3002<\/p>\n<p>\u6807\u51c6\u5316\u52301.73\u5e73\u65b9\u7c73\u4f53\u8868\u9762\u79ef\u8fd8\u6709\u7279\u5b9a\u76ee\u7684\uff1a\u8ba9\u4e0d\u540c\u4f53\u578b\u7684\u4eba\u80fd\u5728\u5171\u540c\u5c3a\u5ea6\u4e0a\u5206\u671f\u3002\u53ef\u662f\u5728\u67d0\u4e9b\u836f\u7269\u5242\u91cf\u51b3\u5b9a\u4e2d\uff0c\u4e34\u5e8a\u4eba\u5458\u53c8\u53ef\u80fd\u9700\u8981\u672a\u6309\u6807\u51c6\u4f53\u8868\u9762\u79ef\u5f52\u4e00\u5316\u7684\u7edd\u5bf9\u80be\u529f\u80fd\u3002\u7528\u4e8e\u75be\u75c5\u5206\u7c7b\u7684\u6570\u503c\uff0c\u4e0d\u4e00\u5b9a\u53ef\u4ee5\u672a\u7ecf\u8c03\u6574\u5730\u627f\u62c5\u6240\u6709\u7528\u836f\u51b3\u5b9a\u3002<\/p>\n<h2>\u4e09\u300160\u4e3a\u4ec0\u4e48\u4ecd\u7136\u6709\u533b\u5b66\u610f\u4e49\uff1f<\/h2>\n<p>\u6162\u6027\u80be\u75c5\u98ce\u9669\u968f\u80be\u529f\u80fd\u4e0b\u964d\u800c\u8fde\u7eed\u589e\u52a0\uff0c\u5e76\u4e0e\u5c3f\u767d\u86cb\u767d\u3001\u75c5\u56e0\u3001\u5e74\u9f84\u548c\u5176\u4ed6\u75be\u75c5\u5171\u540c\u53d8\u5316\u300260\u4e0d\u662f\u81ea\u7136\u60ac\u5d16\uff0c\u4f46\u5b83\u628aGFR\u7c7b\u522bG2\uff0860\u81f389\uff09\u4e0eG3a\uff0845\u81f359\uff09\u5206\u5f00\uff0c\u5e2e\u52a9\u4e34\u5e8a\u7cfb\u7edf\u8bc6\u522b\u98ce\u9669\u660e\u663e\u4e0a\u5347\u3001\u9700\u8981\u6301\u7eed\u7ba1\u7406\u7684\u4e00\u7ec4\u4eba\u3002<\/p>\n<p>\u5206\u7c7b\u7684\u4ef7\u503c\u5728\u4e8e\u534f\u8c03\u3002\u5168\u79d1\u533b\u751f\u3001\u75c5\u7406\u5b9e\u9a8c\u5ba4\u3001\u836f\u5242\u5e08\u548c\u80be\u79d1\u53ef\u4ee5\u7528\u5171\u540c\u8bed\u8a00\u7406\u89e3\u9636\u6bb5\uff0c\u5b89\u6392\u590d\u67e5\uff0c\u8c03\u6574\u98ce\u9669\u7ba1\u7406\u3002\u6fb3\u6d32\u75c5\u7406\u62a5\u544a\u4f1a\u5728\u6210\u4eba\u808c\u9150\u68c0\u67e5\u4e2d\u81ea\u52a8\u62a5\u544aeGFR\uff1b\u82e5\u53ea\u63d0\u4f9b\u808c\u9150\uff0c\u8bb8\u591a\u65e9\u671f\u80be\u529f\u80fd\u4e0b\u964d\u53ef\u80fd\u4e0d\u6613\u88ab\u8bc6\u522b\u3002<a href=\"https:\/\/kidney.org.au\/health-professionals\/egfr-calculator\/\" target=\"_blank\" rel=\"noopener\">Kidney Health Australia\uff1aeGFR calculator and explanation<\/a><\/p>\n<p>\u4f46\u5b9a\u4e49\u7279\u610f\u52a0\u5165\u201c\u6301\u7eed\u81f3\u5c11\u4e09\u4e2a\u6708\u201d\uff0c\u5c31\u662f\u62d2\u7edd\u8ba9\u4e00\u6b2159\u81ea\u52a8\u6210\u4e3a\u6162\u6027\u75be\u75c5\u3002\u8131\u6c34\u3001\u6025\u6027\u75c5\u3001\u836f\u7269\u53d8\u5316\u548c\u5b9e\u9a8c\u5ba4\u6ce2\u52a8\u90fd\u53ef\u80fd\u6682\u65f6\u5f71\u54cd\u808c\u9150\u3002\u6162\u6027\u80be\u75c5\u8fd8\u53ef\u4ee5\u5728eGFR\u6b63\u5e38\u65f6\u7531\u6301\u7eed\u767d\u86cb\u767d\u5c3f\u3001\u8840\u5c3f\u3001\u7ed3\u6784\u5f02\u5e38\u7b49\u8bc1\u636e\u8bc6\u522b\uff1b\u53cd\u8fc7\u6765\uff0c60\u81f389\u7684\u8f7b\u5ea6\u4e0b\u964d\u82e5\u6ca1\u6709\u5176\u4ed6\u80be\u635f\u5bb3\u8bc1\u636e\uff0c\u5e76\u4e0d\u81ea\u52a8\u6784\u6210\u75be\u75c5\u3002<\/p>\n<p>\u95e8\u69db\u56e0\u800c\u4e0d\u662f\u4e00\u4e2a\u5b64\u7acb\u5f00\u5173\uff0c\u800c\u662f\u65f6\u95f4\u3001\u5176\u4ed6\u6307\u6807\u548c\u4e34\u5e8a\u60c5\u5883\u7ec4\u6210\u7684\u7ed3\u6784\u3002\u628a59\u4ece\u8fd9\u5957\u7ed3\u6784\u4e2d\u62bd\u51fa\u6765\uff0c\u53ea\u4f1a\u5236\u9020\u8fc7\u5ea6\u8bca\u65ad\u6216\u4e0d\u5fc5\u8981\u6050\u614c\u3002<\/p>\n<h2>\u56db\u3001\u516c\u5f0f\u4f1a\u89e6\u53d1\u54ea\u4e9b\u5b9e\u9645\u51b3\u5b9a\uff1f<\/h2>\n<p>eGFR\u5f71\u54cd\u6162\u6027\u80be\u75c5\u5206\u671f\u3001\u5fc3\u8840\u7ba1\u98ce\u9669\u7ba1\u7406\u3001\u68c0\u67e5\u9891\u7387\u548c\u591a\u79cd\u836f\u7269\u7684\u9009\u62e9\u6216\u5242\u91cf\u3002\u8f83\u4f4e\u6570\u503c\u8fd8\u53ef\u80fd\u89e6\u53d1\u80be\u79d1\u8f6c\u8bca\u3002Kidney Health Australia\u7684\u57fa\u5c42\u7ba1\u7406\u624b\u518c\u628aeGFR\u4f4e\u4e8e30\u5217\u4e3a\u5efa\u8bae\u8f6c\u8bca\u7684\u4e00\u9879\u6807\u51c6\uff0c\u540c\u65f6\u4e5f\u628a\u6301\u7eed\u663e\u8457\u767d\u86cb\u767d\u5c3f\u3001\u5feb\u901f\u4e0b\u964d\u548c\u96be\u63a7\u5236\u9ad8\u8840\u538b\u7b49\u5217\u5165\uff1b\u624b\u518c\u660e\u786e\u5f3a\u8c03\uff0c\u662f\u5426\u8f6c\u8bca\u4ecd\u8981\u4e2a\u4f53\u5316\uff0c\u5e74\u8f7b\u75c5\u4eba\u7684\u9608\u503c\u53ef\u80fd\u66f4\u5bbd\u3002<a href=\"https:\/\/assets.kidney.org.au\/resources\/KHA-CKD-Handbook-5th-Ed-July2024.pdf\" target=\"_blank\" rel=\"noopener\">Kidney Health Australia\uff1aCKD Management in Primary Care, 5th edition<\/a><\/p>\n<p>\u8fd9\u8bf4\u660e\u540c\u4e00\u4e2a\u6570\u5b57\u5728\u4e0d\u540c\u51b3\u5b9a\u4e2d\u6743\u91cd\u4e0d\u540c\u300259\u8db3\u4ee5\u63d0\u793a\u590d\u6838\u548c\u98ce\u9669\u8bc4\u4f30\uff0c\u5374\u901a\u5e38\u4e0d\u8db3\u4ee5\u5355\u72ec\u51b3\u5b9a\u8f6c\u8bca\uff1b29\u5219\u4f1a\u8fdb\u5165\u66f4\u5f3a\u7684\u8f6c\u8bca\u5efa\u8bae\uff0c\u4f46\u4ecd\u4e0d\u662f\u552f\u4e00\u8d44\u6599\u3002\u836f\u7269\u8bf4\u660e\u4e5f\u53ef\u80fd\u4f7f\u7528\u4e0d\u540c\u80be\u529f\u80fd\u65b9\u6cd5\u548c\u9608\u503c\uff0c\u4e0d\u80fd\u770b\u5230\u201ceGFR\u201d\u4fbf\u673a\u68b0\u5957\u7528\u3002<\/p>\n<p>\u6570\u5b57\u627f\u62c5\u7684\u540e\u679c\u8d8a\u5927\uff0c\u4e34\u5e8a\u4eba\u5458\u8d8a\u9700\u8981\u786e\u8ba4\u5b83\u6d4b\u91cf\u7684\u7248\u672c\u3001\u5355\u4f4d\u548c\u9002\u7528\u4eba\u7fa4\u3002\u628a\u6807\u51c6\u5316eGFR\u3001\u7edd\u5bf9GFR\u548c\u808c\u9150\u6e05\u9664\u7387\u6df7\u4e3a\u4e00\u8c08\uff0c\u662f\u6570\u636e\u51c6\u786e\u4e4b\u5916\u7684\u89e3\u91ca\u9519\u8bef\u3002<\/p>\n<h2>\u4e94\u3001\u5e73\u5747\u516c\u5f0f\u6700\u5bb9\u6613\u8bef\u5224\u8c01\uff1f<\/h2>\n<p>\u808c\u8089\u91cf\u6781\u9ad8\u7684\u4eba\u53ef\u80fd\u4ea7\u751f\u8f83\u591a\u808c\u9150\uff0c\u516c\u5f0f\u56e0\u800c\u4f4e\u4f30\u80be\u529f\u80fd\uff1b\u808c\u8089\u91cf\u5f88\u4f4e\u7684\u8001\u4eba\u3001\u622a\u80a2\u8005\u6216\u4e25\u91cd\u6d88\u7626\u8005\u53ef\u80fd\u808c\u9150\u8f83\u4f4e\uff0c\u516c\u5f0f\u53cd\u800c\u9ad8\u4f30\u80be\u529f\u80fd\u3002\u82e5\u9ad8\u4f30\u53d1\u751f\u5728\u836f\u7269\u6e05\u9664\u80fd\u529b\u5df2\u7ecf\u4e0b\u964d\u7684\u4eba\u8eab\u4e0a\uff0c\u5242\u91cf\u98ce\u9669\u53ef\u80fd\u88ab\u9057\u6f0f\u3002<\/p>\n<p>\u996e\u98df\u3001\u8865\u5145\u5242\u548c\u6025\u6027\u751f\u7406\u53d8\u5316\u4e5f\u4f1a\u5e72\u6270\u3002\u516c\u5f0f\u5728\u53d1\u5c55\u4e0e\u9a8c\u8bc1\u4eba\u7fa4\u4e2d\u7684\u5e73\u5747\u8868\u73b0\uff0c\u4e0d\u80fd\u4fdd\u8bc1\u6bcf\u4e2a\u65cf\u7fa4\u548c\u8eab\u4f53\u72b6\u6001\u540c\u6837\u51c6\u786e\u3002\u8fc7\u53bb\u67d0\u4e9b\u56fd\u5bb6\u7684\u516c\u5f0f\u8fd8\u66fe\u628a\u201c\u79cd\u65cf\u201d\u4f5c\u4e3a\u8c03\u6574\u9879\uff0c\u663e\u793a\u9884\u6d4b\u6a21\u578b\u5982\u4f55\u628a\u7fa4\u4f53\u5dee\u5f02\u5199\u5165\u4e2a\u4f53\u7ed3\u679c\u3002\u6fb3\u6d32\u5f53\u524d\u4e00\u822c\u4f7f\u7528\u4e0d\u542b\u8fd9\u79cd\u79cd\u65cf\u7cfb\u6570\u7684CKD-EPI\u8def\u5f84\uff0c\u4f46\u4ee3\u8868\u6027\u548c\u6821\u51c6\u4ecd\u9700\u6301\u7eed\u68c0\u9a8c\u3002<\/p>\n<p>\u53e6\u4e00\u4e2a\u5bb9\u6613\u9057\u6f0f\u7684\u4eba\uff0c\u662f\u957f\u671f\u5904\u4e8e60\u9644\u8fd1\u4f46\u98ce\u9669\u7531\u767d\u86cb\u767d\u5c3f\u6216\u5bb6\u65cf\u75c5\u53f2\u4e3b\u5bfc\u8005\u3002\u82e5\u4e34\u5e8a\u53ea\u76efeGFR\u662f\u5426\u8d8a\u7ebf\uff0c\u53ef\u80fd\u5bf959\u8fc7\u5ea6\u53cd\u5e94\uff0c\u5374\u5bf961\u4e0e\u4e25\u91cd\u767d\u86cb\u767d\u5c3f\u53cd\u5e94\u4e0d\u8db3\u3002\u5355\u8f74\u5206\u7c7b\u628a\u591a\u7ef4\u98ce\u9669\u538b\u5e73\u4e86\u3002<\/p>\n<h2>\u516d\u3001\u600e\u6837\u8ba9\u73b0\u5b9e\u7ea0\u6b63\u516c\u5f0f\uff1f<\/h2>\n<p>\u7b2c\u4e00\uff0c\u91cd\u590d\u6d4b\u91cf\u5e76\u4fdd\u7559\u65f6\u95f4\u3002\u4e00\u6b21\u5f02\u5e38\u5e94\u6309\u6025\u6027\u60c5\u51b5\u5904\u7406\u548c\u590d\u67e5\uff1b\u201c\u6301\u7eed\u4e09\u4e2a\u6708\u201d\u4e0d\u80fd\u88ab\u884c\u653f\u7cfb\u7edf\u7701\u7565\u3002<\/p>\n<p>\u7b2c\u4e8c\uff0c\u540c\u65f6\u68c0\u67e5\u5c3f\u767d\u86cb\u767d\u4e0e\u5176\u4ed6\u80be\u635f\u5bb3\u8bc1\u636e\u3002CKD\u6309\u75c5\u56e0\u3001GFR\u548c\u767d\u86cb\u767d\u5c3f\u5171\u540c\u5206\u7c7b\uff0c\u4e0d\u5e94\u8ba9\u4e00\u4e2a\u6570\u5b57\u5784\u65ad\u8bca\u65ad\u3002<\/p>\n<p>\u7b2c\u4e09\uff0c\u67e5\u770b\u8eab\u4f53\u6784\u6210\u548c\u9002\u7528\u6761\u4ef6\u3002\u5f53\u808c\u8089\u91cf\u3001\u6000\u5b55\u3001\u622a\u80a2\u3001\u4e25\u91cd\u6d88\u7626\u6216\u5176\u4ed6\u60c5\u51b5\u4f7f\u808c\u9150\u516c\u5f0f\u4e0d\u53ef\u9760\u65f6\uff0c\u6539\u7528\u66f4\u9002\u5408\u7684\u65b9\u6cd5\u6216\u4e13\u79d1\u610f\u89c1\u3002<\/p>\n<p>\u7b2c\u56db\uff0c\u7ed9\u75c5\u4eba\u53ef\u7406\u89e3\u7684\u89e3\u91ca\u3002\u5316\u9a8c\u5355\u5e94\u8bf4\u660eeGFR\u662f\u4f30\u8ba1\u503c\u3001\u5355\u4f4d\u548c\u5206\u671f\u610f\u4e49\uff1b\u4e34\u5e8a\u4eba\u5458\u8fd8\u5e94\u8bf4\u660e\u4e00\u6b2159\u5e76\u4e0d\u81ea\u52a8\u8bc1\u660e\u6162\u6027\u75c5\uff0c\u4ee5\u53ca\u4e0b\u4e00\u6b65\u4e3a\u4f55\u590d\u67e5\u3002<\/p>\n<p>\u7b2c\u4e94\uff0c\u8ba9\u88ab\u63a8\u7ffb\u6216\u660e\u663e\u4e0d\u5408\u60c5\u5883\u7684\u7ed3\u679c\u8fdb\u5165\u65b9\u6cd5\u6cbb\u7406\u3002\u5b9e\u9a8c\u5ba4\u5e94\u6807\u660e\u6240\u7528\u516c\u5f0f\u548c\u7248\u672c\uff0c\u533b\u5b66\u6307\u5357\u66f4\u65b0\u65f6\u8981\u5904\u7406\u65f6\u95f4\u5e8f\u5217\u5dee\u5f02\uff0c\u4e0d\u80fd\u5047\u5b9a\u6240\u6709\u201ceGFR\u201d\u53ef\u65e0\u7f1d\u6bd4\u8f83\u3002<\/p>\n<h2>\u4e03\u3001Delegated Knowing\uff1a\u516c\u5f0f\u4fdd\u5b58\u4e86\u77e5\u8bc6\uff0c\u4e5f\u4fdd\u5b58\u4e86\u8bef\u5dee<\/h2>\n<p>\u6ca1\u6709\u4e00\u540d\u5168\u79d1\u533b\u751f\u80fd\u5728\u6bcf\u6b21\u9a8c\u8840\u65f6\u91cd\u65b0\u63a8\u5bfc\u80be\u529f\u80fd\u65b9\u7a0b\u3002eGFR\u628a\u5927\u91cf\u7814\u7a76\u3001\u5b9e\u9a8c\u5ba4\u6807\u51c6\u5316\u548c\u4e34\u5e8a\u7ecf\u9a8c\u538b\u5165\u81ea\u52a8\u62a5\u544a\uff0c\u662fDelegated Knowing\u7684\u6210\u529f\u4f8b\u5b50\u3002\u5b83\u4f7f\u590d\u6742\u77e5\u8bc6\u5728\u6ca1\u6709\u4efb\u4f55\u4e2a\u4eba\u638c\u63e1\u5168\u90e8\u73af\u8282\u65f6\u4ecd\u88ab\u666e\u904d\u8c03\u7528\u3002<\/p>\n<p>\u4f46\u59d4\u6258\u5e76\u6ca1\u6709\u6d88\u9664\u5224\u65ad\u3002\u516c\u5f0f\u4e0d\u77e5\u9053\u773c\u524d\u7684\u4eba\u662f\u5426\u8131\u6c34\u3001\u808c\u8089\u91cf\u662f\u5426\u5f02\u5e38\uff0c\u4e5f\u4e0d\u77e5\u9053\u4e00\u6b21\u8bca\u65ad\u5bf9\u5176\u4fdd\u9669\u3001\u5fc3\u7406\u548c\u6cbb\u7597\u610f\u5473\u7740\u4ec0\u4e48\u3002\u4e34\u5e8a\u4eba\u5458\u4ecd\u8981\u51b3\u5b9a\u8fd9\u4e2a\u4f30\u8ba1\u503c\u662f\u5426\u9002\u7528\u4e8e\u6b64\u4eba\uff0c\u5e76\u627f\u62c5\u8fdb\u4e00\u6b65\u68c0\u67e5\u6216\u6cbb\u7597\u7684\u7406\u7531\u3002<\/p>\n<p>\u6211\u7684\u5224\u65ad\u662f\uff0c60\u8fd9\u6761\u7ebf\u5e94\u4fdd\u7559\uff0c\u56e0\u4e3a\u5171\u540c\u5206\u7c7b\u5bf9\u65e9\u671f\u53d1\u73b0\u548c\u534f\u8c03\u7ba1\u7406\u6709\u5b9e\u9645\u4ef7\u503c\uff1b\u4f4659\u4e0e60\u4e4b\u95f4\u4e0d\u80fd\u88ab\u89e3\u91ca\u4e3a\u771f\u5b9e\u80be\u810f\u72b6\u6001\u7684\u65ad\u88c2\u3002\u4e00\u6b21\u8bfb\u6570\u5e94\u89e6\u53d1\u590d\u6838\uff0c\u4e0d\u5e94\u76f4\u63a5\u5b8c\u6210\u6162\u6027\u8bca\u65ad\u3002\u5236\u5ea6\u81f3\u5c11\u5fc5\u987b\u7ed3\u5408\u4e09\u4e2a\u6708\u6301\u7eed\u6027\u3001\u767d\u86cb\u767d\u5c3f\u548c\u8eab\u4f53\u60c5\u5883\uff0c\u5728\u9ad8\u540e\u679c\u51b3\u5b9a\u524d\u786e\u8ba4\u516c\u5f0f\u9002\u7528\u6027\u3002<\/p>\n<p>eGFR\u6700\u6709\u4ef7\u503c\u7684\u5730\u65b9\uff0c\u4e0d\u662f\u66ff\u80be\u810f\u8bf4\u51fa\u4e00\u4e2a\u7edd\u5bf9\u771f\u76f8\uff0c\u800c\u662f\u628a\u4e0d\u5bb9\u6613\u770b\u89c1\u7684\u98ce\u9669\u53d8\u6210\u53ef\u4ee5\u7ee7\u7eed\u8ffd\u95ee\u7684\u7ebf\u7d22\u3002<\/p>\n<h3>\u4e3b\u8981\u8d44\u6599<\/h3>\n<ul>\n<li><a href=\"https:\/\/kidney.org.au\/health-professionals\/egfr-calculator\/\" target=\"_blank\" rel=\"noopener\">Kidney Health Australia\uff1aeGFR calculator<\/a><\/li>\n<li><a href=\"https:\/\/assets.kidney.org.au\/resources\/KHA-CKD-Handbook-5th-Ed-July2024.pdf\" target=\"_blank\" rel=\"noopener\">Kidney Health Australia\uff1aCKD Management in Primary Care, 5th edition<\/a><\/li>\n<li><a href=\"https:\/\/www.rcpa.edu.au\/Manuals\/RCPA-Manual\/Pathology-Tests\/G\/GFR-estimated\" target=\"_blank\" rel=\"noopener\">RCPA\uff1aGFR estimated<\/a><\/li>\n<li><a href=\"https:\/\/kdigo.org\/wp-content\/uploads\/2024\/03\/KDIGO-2024-CKD-Guideline.pdf\" target=\"_blank\" rel=\"noopener\">KDIGO\uff1a2024 Clinical Practice Guideline for the Evaluation and Management of CKD<\/a><\/li>\n<\/ul>\n<p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":17897162,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":true,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_geoff_meta_description_en":"","_geoff_meta_description_zh":"","_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[787296157],"tags":[787296179,787296176,787296158,787296032,787296159,787296033,787296178,787296177],"class_list":["post-16703","post","type-post","status-publish","format-standard","hentry","category-the-people-the-average-does-not-see","tag-chronic-kidney-disease","tag-egfr","tag-the-people-the-average-does-not-see","tag-when-numbers-start-making-decisions","tag-the-people-the-average-does-not-see-zh","tag-when-numbers-start-making-decisions-zh","tag-chronic-kidney-disease-zh","tag-egfr-zh",""],"translatepress_titles":{"en_AU":"Between an eGFR of 59 and 60, How Does an Equation Change the Judgement of Chronic Kidney Disease?","zh_CN":"eGFR\u768459\u4e0e60\u4e4b\u95f4\uff0c\u4e00\u6761\u516c\u5f0f\u600e\u6837\u6539\u53d8\u6162\u6027\u80be\u75c5\u5224\u65ad\uff1f"},"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p1ar9H-4lp","jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/posts\/16703","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/users\/17897162"}],"replies":[{"embeddable":true,"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/comments?post=16703"}],"version-history":[{"count":1,"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/posts\/16703\/revisions"}],"predecessor-version":[{"id":19042,"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/posts\/16703\/revisions\/19042"}],"wp:attachment":[{"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/media?parent=16703"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/categories?post=16703"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/geoffreychen.com\/zh\/wp-json\/wp\/v2\/tags?post=16703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}