肾性高血压治疗进展

Progress of treatment of renal hypertension

高血压既是慢性肾脏病的始动因素,也是慢性肾脏病的进展因素,还是慢性肾脏病患者心血管并发症的高危因素。因此,对于肾脏病合并高血压必须积极治疗。根据病因和发病机制不同,肾性高血压又可分为肾实质性和肾血管性高血压,但无论何种原因、何种类型高血压,控制血压达标均是治疗关键所在。本文从肾性高血压最佳目标血压水平、生活方式的调整、不同亚型临床治疗方式的选择及进展作一介绍。

Hypertension is an initiating and progressive factors for chronic kidney disease, and it is also a high risk factor for promoting cardiovascular complications of chronic kidney disease patients. So we should take active measures to treat renal disease complicated by hypertension. According to different etiopathogenisis and pathogenesis, renal hypertension could be divided into renal parenehymal hypertension and renal vascular hypertension. Blood pressure control is critical to any type of hypertensions. This article will elucidate some advances in the treatment of renal hypertension, such as optimal blood pressure level, adjustment of life style and treatment options for different subtypes.