慢性肾脏病矿物质与骨异常(CKD-MBD)是CKD常见的并发症之一,血钙、磷、全段甲状旁腺激素(i PTH)或维生素D等为常见的临床监测指标,常多个指标同时出现异常,临床上有时难以做到全部达标,那么临床医师应该强调钙磷达标,还是i PTH、维生素D达标呢?我们认为不同疾病状态,各指标异常对机体的危害不一样,我们需要抓住主要矛盾,即导致患者不良预后或死亡风险增加的 Chronic kidney disease Mineral and bone abnormalities (CKD-MBD) is a common complication of CKD, serum calcium, phosphorus, whole parathyroid hormone (i PTH) or vitamin D and other common clinical monitoring indicators, often An index at the same time anomalies, clinically difficult to achieve full compliance, then clinicians should emphasize calcium and phosphorus compliance, or i PTH, vitamin D compliance? We think different disease states, the indicators of abnormal damage to the body is not the same, we There is a need to grasp the main contradiction that leads to an increased patient’s poor prognosis or risk of dying