Xu Fang uremia patients with hypertension

Many people are aware of stroke in patients with hypertension-prone, in fact, the relationship between hypertension and uremia also very close. Research shows that 15 percent of hypertension will develop uremia, and blood pressure control was good or bad, directly affect the incidence of uremia, development, efficacy and prognosis. Therefore, patients with hypertension should be closely monitored to prevent uremia, specific attention should be the following:

First, to control blood pressure in the desired level.

China is a big country hypertension, but China's hypertension exists a very dangerous phenomenon of the three low, low awareness, low rate of medication to control the low rate. Census found that, aware of their patients suffering from high blood pressure is less than half have high blood pressure medication and treatment of less than 12.5 percent; medication will be able to control blood pressure in the optimal level of only 2.9 percent. Therefore, the whole of society to promote hypertension, we raise the awareness of the imminent hazard of hypertension.

Second, strict monitoring of kidney function.

Will be the ideal level of blood pressure control is to prevent kidney damage preconditions. At the same time to closely monitor kidney function in patients with hypertension. Specific measures to:

1. Periodic inspection renal function, including the creatinine clearance, serum creatinine and blood urea nitrogen, preferably every two checks on the 1st.

2. Uremia closely observe whether the early symptoms such as fatigue weakness, lumbar acid Tuiruan symptoms such as weakness, loss of appetite or nausea and vomiting and other gastrointestinal symptoms, and looking Wei Huang, Shezhi desalination, lips, eyelids, such as anemia pale Performance. Once symptoms appear relevant, timely check renal function, to confirm whether abnormal.

3. Whatevers and creatinine clearance rate decreased serum creatinine and blood urea nitrogen increased the patients, should be in accordance with uremia early treatment programme in time for treatment.

Third, the rational use of drugs and treatment programmes.

Antihypertensive drug variety, not the same as all indications. Selection of antihypertensive drugs based on the principle that no renal toxicity, or have the protection role of the kidney. Research shows that angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists and calcium channel blockers and β-blockers in the relief role at the same time have the protection of the kidney. On the treatment of hypertension, such as the choice of antihypertensive medicine at the same time, with conditioning movements, replenishing the liver and kidney medicine, blood pressure to maintain the stability and the protection of renal function have a good effect.