Beware of uremic patients with hypertension2017-05-30 09:45
Many people know that hypertensive patients prone to stroke, in fact, hypertension and uremia is also very close relationship. Studies have shown that 15% of hypertension will develop into uremia, and the control of blood pressure has a direct impact on the occurrence, development, efficacy and prognosis of uremia. Therefore, patients with high blood pressure should be closely monitored, prevention of uremia, should pay attention to the following aspects:
First, control blood pressure at an ideal level.
China is a big country with high blood pressure, but there are three dangerous phenomena of low blood pressure in China, that is, low awareness rate, low medication rate and low control rate. The census found that less than half of the patients who knew they had high blood pressure had less than 12.5% of those treated with hypertension; only 2.9% were able to take medication and control blood pressure at an ideal level. Therefore, in the whole society to promote hypertension publicity, and raise awareness of the dangers of hypertension imminent.
Second, closely monitor renal function.
Controlling blood pressure at an ideal level is a prerequisite for preventing kidney damage. At the same time, we should closely monitor the renal function of patients with hypertension. Specific measures for:
1, regular examination of renal function, including endogenous creatinine clearance rate, serum creatinine, urea nitrogen, it is best to check 1 times every 2 months.
2, if there is a close observation of the early symptoms of uremia, such as fatigue, backache leg soft weakness, loss of appetite or nausea and vomiting and other gastrointestinal symptoms, and sallow complexion, pale tongue, pale lips, eyelids etc. anemia. In case of any symptoms, the renal function should be examined immediately to determine if there is any abnormality.
3, all patients with endogenous creatinine clearance rate reduction, serum creatinine and urea nitrogen elevation should be treated in accordance with the early treatment of uremia in a timely manner.
Third, the rational choice of drugs and treatment options.
A variety of antihypertensive drugs, indications vary. The basic principle of choosing antihypertensive drugs is no nephrotoxicity, or there is a protective effect on the kidneys. Studies have shown that angiotensin converting enzyme inhibitors, angiotensin receptor antagonists, calcium channel blockers, and beta blockers protect the kidney while lowering blood pressure. In the treatment of hypertension, such as the use of Western medicine at the same time lowering blood pressure, with the adjustment of the lifting and invigorating the liver and kidney of Chinese medicine, to maintain the stability of blood pressure and protect renal function has a good effect.