老年急性肾损伤(AKI)的发生逐年增多。老年AKI的临床特点和发生机制有其特殊性,与老年肾脏的特殊结构、功能、合并症等多种因素有关。尽管老年急性肾损伤治疗措施不断改进,但其预后转归仍无明显改善。本文就老年AKI防治的循证医学研究进展进行综述,以期指导临床诊治和改善老年AKI的预后。
The incidence of acute kidney injury( AKI) in the elderly has increased yearly. The clinical features and pathogenesis of AKI in the elderly are special,and associated with the special structure and function of the aging kidney,complications,and so on. Despite continual improvement in treatment measures,the prognosis of AKI in the elderly has not been significantly improved. This present review focused on the progress of evidence-based research on the prevention and treatment of AKI in the elderly,in order to provide guidance for its clinical diagnosis and treatment,and improve its prognosis.