Most people do not know the relationship between hypertension and uremia, in fact, the relationship between hypertension and uremia is very close. Studies have shown that 15% of the high blood pressure will develop into uremia, and blood pressure control is a direct impact on the occurrence, development, efficacy and prognosis of uremia. Therefore, patients with hypertension should be closely monitored, prevention of uremia, the specific should pay attention to the following aspects:
1, control the blood pressure at the desired level
Hypertension often appear dangerous three low phenomenon, that is, low awareness, low medication rate, low control rate. The census found that less than half of the patients who had high blood pressure, had less than 12.5% of those who had high blood pressure and were able to take blood pressure at a level of only 2.9%.
2, close monitoring of renal function
Decreased blood pressure control at the desired level is a prerequisite for preventing damage to renal function. At the same time to closely monitor the renal function of patients with hypertension. The specific measures are:
1. Regular examination of renal function, including endogenous creatinine clearance, serum creatinine, urea nitrogen, preferably every 2 months check once.
2. Closely observe whether there are early symptoms of uremia, such as fatigue, weakness, backache and other weak symptoms such as weakness, loss of appetite or nausea and vomiting and other gastrointestinal symptoms, and pale complexion, pale, lips, pale eyes and other anemia. Once the relevant symptoms, should promptly check the renal function to confirm whether the abnormal.
3. All endogenous creatinine clearance rate decreased, serum creatinine, elevated blood urea in patients with uremia should be in accordance with the early treatment of timely treatment.
3, the rational use of drugs and treatment programs
There are many varieties of antihypertensive drugs, indications vary. The basic principle of the use of antihypertensive drugs is no nephrotoxicity, or the role of protecting the kidneys. Studies have shown that angiotensin converting enzyme inhibitors, angiotensin receptor antagonists, calcium channel blockers and β-blockers in the antihypertensive at the same time have the role of protecting the kidneys. In the treatment of hypertension, such as the use of Western medicine at the same time, with the regulation of lifting, tonic liver and kidney of traditional Chinese medicine, to maintain blood pressure stability and protection of renal function have a good effect.
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