ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2025, Vol. 34 ›› Issue (3): 251-255.DOI: 10.3969 / j.issn.1006⁃298X.2025.03.011

• 标准与规范 • 上一篇    下一篇

执行摘要:中国狼疮肾炎诊治和管理指南( 2025 版)

  

  • 出版日期:2025-06-28 发布日期:2025-06-26

Executive  summary: 2025  Chinese  practice  guideline  for  the  diagnosis,  treatment  and  management  of  lupus nephritis

  • Online:2025-06-28 Published:2025-06-26

摘要: 2019 年首部《中国狼疮肾炎诊断和治疗指南》发布以来,国内外在狼疮肾炎( LN) 的诊断、评估、治疗和管理方面进行了大量的临床研究,获得了更多新的循证医学证据。   为了更新该指南,国家肾脏疾病临床医学研究中心组建了多学科专家指南工作组,使用推荐意见的分级评估、制订及评价(  GRADE)  方法对证据体和推荐意见进行分级,对部分循证证据不足的临床问题,以实践建议进行陈述,旨在为临床医生的治疗决策和疾病管理提供 指导。 《中国狼疮肾炎诊治和管理指南( 2025 版)》已在《中华医学杂志》全文发表,为辅助指南的解读和推广应用, 在此以执行摘要的形式对《中国狼疮肾炎诊治和管理指南( 2025 版)》进行了跟踪发布。

关键词: 狼疮肾炎, 诊断 , 治疗, 管理 , 指南

Abstract: Since  the  first  edition  “ Chinese  guideline  for  the  diagnosis  and  treatment  of  lupus  nephritis”  was published in 2019, a  large  number  of  clinical  studies  have  been  conducted  in  the  diagnosis,  evaluation,  treatment,  and management of lupus nephritis both domestically and internationallyobtaining more new evidence⁃based evidence. In order to update  the  guideline,  a  multidisciplinary  guideline  working  group  was  established,  the  grading  of  recommendation assessmentdevelopment and  evaluation  GRADE)  system  was  used  to  rate  the  quality  of  evidence  and  the  strength  of recommendations. For  clinical  issues  without  sufficient  evidence⁃based  evidence,  practical  points  were  presented.  In  the updated 2025 Chinese practice  guideline  for  the  diagnosis,  treatment,  and  management  of  lupus  nephritis,  the  guideline expert group developed 20 recommendations and 25 practice pointsintended to provide guidance for clinicians in making optimal treatment decisions and disease management. The complete version of the “2025 Chinese practice guideline for the diagnosistreatment and management  of  lupus  nephritis”  has  been  published  in  the  Chinese  Medical  Journal.  To  further promote and  expand  the  dissemination  and  implementation  of  the  guidelines,  this  journal  has  released  the  executive summary of the “ Chinese practice guideline for the diagnosistreatment and management of lupus nephritis”.

Key words: lupus nephritis ,  , diagnosis,  treatment, management , guideline