<正>糖尿病肾脏病变(diabetic kidney disease,DKD)是糖尿病患者常见的微血管慢性并发症,是指临床考虑由糖尿病引起的肾脏病变,如经肾穿刺病理检查证实则称为糖尿病肾小球病变(diabetic glomerulopathy),其中最特征性的乃是糖尿病肾小球硬化症,即所谓的糖尿病肾病(diabeticnephropathy,DN),其发