中国血液净化 ›› 2026, Vol. 25 ›› Issue (05): 353-369.doi: 10.3969/j.issn.1671-4091.2026.05.001

• 指南与共识 •    下一篇

维持性血液透析合并肾性贫血临床管理中国专家共识(2026版)

维持性血液透析合并肾性贫血临床管理中国专家共识(2026版)工作组   

  1. 中国研究型医院学会血液净化专业委员会
  • 收稿日期:2026-03-26 修回日期:2026-04-01 出版日期:2026-05-12 发布日期:2026-05-12
  • 通讯作者: 左力 E-mail:zuoli@bjmu.edu.cn

Chinese expert consensus on the clinical management of renal anemia in patients undergoing maintenance hemodialysis (2026 edition)

Work Group of Chinese Expert Consensus on the Clinical Management of Renal Anemia in Patients Undergoing Maintenance Hemodialysis (2026 edition)   

  1. Blood Purification Committee of the Chinese Research Hospital Association
  • Received:2026-03-26 Revised:2026-04-01 Online:2026-05-12 Published:2026-05-12
  • Contact: 100044 北京,北京大学人民医院肾内科 E-mail:zuoli@bjmu.edu.cn

摘要: 肾性贫血是维持性血液透析(maintenance hemodialysis,MHD)患者最常见的并发症之一,严重影响患者生活质量和长期预后。我国MHD患者数量持续增长,肾性贫血规范化管理对改善患者预后至关重要,但目前国内外尚无专门针对MHD患者肾性贫血临床管理的指导性意见。为此,中国研究型医院学会血液净化专业委员会组织国内多名相关领域专家,结合循证医学证据与临床经验制定本共识,内容包括MHD患者肾性贫血的定义、评估、监测、治疗及患者教育等。本共识旨在进一步规范MHD患者肾性贫血的管理,提升贫血达标率,改善患者生活质量与长期预后。

关键词: 慢性肾脏病, 维持性血液透析, 肾性贫血, 慢性肾脏病贫血

Abstract: Renal anemia is one of the most common complications in patients undergoing maintenance hemodialysis (MHD), profoundly impacting on their quality of life and long-term prognosis. With the steadily growing number of MHD patients in China, standardized management of renal anemia is essential for improving their clinical outcomes. However, there is currently no specific clinical management guidance for renal anemia in MHD patients, both domestically and internationally. To address this unmet need, the Blood Purification Committee of the Chinese Research Hospital Association organized a panel of national experts to develop this consensus based on evidence-based medicine and clinical experience. This consensus covers definition, assessment, monitoring, treatment, and patient education of renal anemia in MHD patients, aiming to further standardize the management of renal anemia, improve anemia control, and enhance patients' quality of life and long-term prognosis in MHD patients.

Key words: Chronic kidney disease, Maintenance hemodialysis, Renal anemia, Anemia of chronic kidney disease

中图分类号: