老年慢性肾病患者的血压控制。

Jae Won Yang
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摘要

在老年慢性肾病(CKD)患者中,孤立性收缩期高血压较为常见,肾功能下降速度缓慢,且由于药物相关的直立性低血压等副作用而造成物理性损害的可能性较大。因此,降低老年患者血压是否真的能改善预后,仍然存在很多疑问。由于许多与血压相关的临床研究排除了晚期CKD和老年人,因此很难确定这些人群的目标血压。需要一项随机对照试验来确定老年CKD患者的最佳血压目标和治疗策略。本综述旨在总结目前可用的指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Blood Pressure Control in Elderly Chronic Kidney Disease Patients.

In elderly chronic kidney disease (CKD) patients, isolated systolic hypertension is common, the rate of renal function decline is slow, and there is a high possibility of physical damage due to side effects such as drug use-related orthostatic hypotension. Therefore, there are still many questions about whether lowering blood pressure in elderly patients will actually improve prognosis. Since many blood pressure-related clinical studies exclude advanced CKD and the elderly, it is particularly difficult to define target blood pressure in these populations. A randomized controlled trial is needed to establish optimal blood pressure targets and treatment strategies in elderly patients with CKD. This review seeks to summarize the guidelines available at this time.

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来源期刊
Electrolyte and Blood Pressure
Electrolyte and Blood Pressure Medicine-Internal Medicine
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