从肾脏内科的角度看肾脏去交感治疗
摘要
肾脏是调控血压的重要器官。当肾脏出现慢性损伤时,患者常易合并高血压,且血压的升高程度和控制难度均较原发性高血压为著。严格的血压控制是延缓慢性肾脏病(CKD)患者肾功能衰退,降低心血管并发症的关键治疗手段。因此,这些患者在临床上常需大剂量、多药联合治疗来控制血压。但即便如此,这些患者的血压控制仍常不能达标。
出处
《中华内科杂志》
CAS
CSCD
北大核心
2013年第1期8-10,共3页
Chinese Journal of Internal Medicine
参考文献10
-
1Wang Y, Zhang L, Li X, et al. Improvement of awareness, treatment and control of hypertension among chronic kidney disease patients in China from 1999 to 2005. Hypertens Res, 2009,32: 444-449.
-
2Muntner P, Anderson A, Charleston J, et al. Hypertension awareness, treatment, and control in adults with CKD: results from the Chronic Renal Insufficiency Cohort (CRIC) Study. Am J Kidney Dis, 2010,55:441-451.
-
3Krum H, Schlaich M, Whitboum R, et al. Catheter-based renal sympathetic denervation for resistant hypertension: a multicentre safety and proof-of-principle cohort study. Lancet, 2009,373 : 1275-1281.
-
4Symplicity HTN-2 Investigators, Esler MD, Krum H, et al. Renal sympathetic denervation in patients with treatment-resistant hypertension (The Symplicity HTN-2 Trim ): a randomised controlled triM. Lancet, 2010,376 : 1903-1909.
-
5Symplicity I-ITN-1 Investigators. Catheter-based renal sympatheticdenervation for resistant hypertension: durability of blood pressure reduction out to 24 months. Hypertension, 2011,57:911-917.
-
6Di Daniele N, De Francesco M, Violo L, et al. Renal sympathetic nerve ablation for the treatment of difficuh-to-control or refractory hypertension in a haemodialysis patient. Nephrol Dial Transplant, 2012,27 : 1689-1690.
-
7Hering D, Mahfoud F, Walton AS, et al. Renal denervation in moderate to severe CKD. J Am Soc Nephrol,2012,23:1250-1257.
-
8Schlaich MP, Socratous F, Hennebry S, et al. Sympathetic activation in chronic renal failure. J Am Soc Nephrol, 2009,20: 933 -939.
-
9Masuo K, Lambert GW, Esler MD, et al. The role of sympathetic nervous activity in renal injury and end-stage renal disease. Hypertens Res, 2010,33:521-528.
-
10Hausberg M, Kosch M, Harmelink P, et al. Sympathetic nerve activity in end-stage renal disease. Circulation, 2002,106 : 1974- 1979.
-
1桑震池,刘宗军,金惠根.肾去交感神经化治疗在慢性肾病中的应用[J].第二军医大学学报,2015,36(10):1107-1111.
-
2刘彦国,石献忠,于恩华,王俊.上胸段交感神经链切断手术的应用解剖研究[J].中华胸心血管外科杂志,2005,21(2):75-77. 被引量:45
-
3张波,夏冰,高颖,树梅.排石汤治疗尿路结石68例临床体会[J].中国中医急症,2009,18(8):1281-1281. 被引量:2
-
4何琪.中西医结合治疗高血压性脑出血的疗效观察[J].中国社区医师(医学专业),2010,12(18):133-133. 被引量:1
-
5徐春玲,孙官珍.慢性肾衰患者的中医护理[J].基层医学论坛,2008,12(12):375-375.
-
6顾培德,陈德泉.防治前列腺增生的简易方法[J].双足与保健,2007(6):25-27.
-
7李丽芳.福辛普利联合缬沙坦治疗IgA肾病56例临床分析[J].现代诊断与治疗,2012,23(11):2012-2013. 被引量:4
-
8赵春霞.慢性肾衰患者的中医护理要点[J].实用医技杂志,2006,13(12):2179-2179.
-
9王平贤,张艮甫,范明齐,黄赤兵,金锡御.血管紧张素Ⅱ受体拮抗剂延缓慢性移植肾肾病肾功能损害的临床研究[J].中华泌尿外科杂志,2006,27(1):15-19. 被引量:3
-
10吕少华.慢性高尿酸肾病60例规范治疗分析[J].中国医学工程,2012,20(5):62-63. 被引量:1