非透析与透析合并慢性肾病患者高血压的处理:中国专家共识。

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引用次数: 0

摘要

慢性肾脏疾病(CKD)是一个全球性的公共卫生问题,通常是进行性的。高血压是CKD进展的危险因素,心血管疾病是CKD患者最常见的死亡原因。在中国CKD患者中,高血压患病率高,控制率低。一些研究表明,有效的血压控制可以延缓肾脏疾病的进展,降低心血管事件和全因死亡率的风险。中关村肾病与血液净化创新联盟在先前发表的高质量证据、指南和共识报告的基础上,制定了新的共识。这一共识包括血压测量;非透析患者、透析患者和肾移植患者的血压管理及常用药物与降压药的相互作用。该共识旨在进一步加强CKD患者血压管理的规范化和安全性,延缓疾病进展,减轻疾病负担,全面改善CKD患者的生活质量和预后。
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[Management of hypertension in non-dialysis and dialysis patients with chronic kidney disease: Chinese expert consensus].

Chronic kidney disease (CKD) is a global public health problem that is usually progressive. Hypertension is a risk factor for the progression of CKD, and cardiovascular disease is the most common cause of death in patients with CKD. In Chinese patients with CKD, there is a high prevalence of hypertension and a poor rate of control. Several studies have demonstrated that effective blood pressure control can delay the progression of kidney disease and reduce the risk of cardiovascular events and all-cause mortality. Based on previously published high-quality evidence, guidelines and consensus reports, the Zhongguancun Nephropathy and Blood Purification Innovation Alliance formulated a new consensus. This consensus includes blood pressure measurement; the blood pressure management of non-dialysis patients, dialysis patients and kidney transplantation patients, and the interaction between commonly used drugs and antihypertensive drugs. The consensus aims to further strengthen the standardization and safety of blood pressure management in CKD patients, delay disease progression, reduce disease burden, and comprehensively improve the quality-of-life and prognosis of patients with CKD.

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