摘要
目的了解慢性肾脏病(CKD)3～4期合并高血压患者血压控制情况、治疗现状,分析其影响因素。方法分析2010年4月至2011年4月265例在北京友谊医院CKD门诊规律随访3个月以上的CKD 3～4期合并高血压的患者的临床资料和治疗情况。结果高血压知晓率为97.7%,知道正确靶目标值的患者占83%,血压控制在130/80 mmHg以下的CKD高血压患者占39.2%。服用3种以上降压药物的患者占19.6%,利尿剂使用比例6.8%。结论应加强对CKD合并高血压患者的教育及自我管理的培训,临床医师应给予患者更加积极合理的降压治疗,提高血压控制率,改善预后。
Objective To determine the blood control, current therapeutics and influencing factors in patients who had stage 3 and 4 chronic kidney disease （CKD） patients complicating with hypertension. Methods We analyzed the clinical and therapeutic profiles of 265 patients with stage 3 and 4 CKD complicating with hypertension who were followed-up regularly for at least 3 months from the CKD out-patient clinics, Peking Friendship Hospital. Results 97.7% of participants were a- ware of hypertension and 83% knew the correct target threshold. Blood pressure was maintained below 130/80 mmHg in 39.2% of patients who had stage 3 and 4 CKD complicating with hypertension. Triple medication regimen was prescribed in 19. 6% of patients, and 6. 8% were on diuretics therapy. Conclusion Education and self-management training in CKD pa- tients complicating with hypertension should be reinforced, and clinicians should be responsible for rational and active anti- hypertensive therapy, thereby improving blood control rate and prognosis.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2012年第3期205-208,共4页
Chinese Journal of Practical Internal Medicine
基金
北京市科学技术委员会资助课题(D09050704310903)
关键词
慢性肾脏病
高血压
血压控制
chronic kidney disease
hypertension
blood pressure control
