慢性肾脏病高血压指南解读

Interpretation of guidelines for hypertension in chronic kidney disease

慢性肾脏病(chronic kidney disease,CKD)和高血压是常见的慢性疾病,对CKD患者高血压进行积极、规范的治疗,既有利于延缓肾脏疾病进展,同时也可降低心血管事件风险。近些年来,虽然国内外的高血压指南都对CKD患者高血压的管理提出了详细建议,但对CKD患者的血压目标值推荐存在差异。该文结合最新指南,对CKD患者血压测量方法、高血压的诊断标准、降压靶目标及药物治疗进行了解读。

Chronic kidney disease (CKD) and hypertension are very common chronic diseases. Active and standardized treatment of hypertension in patients with CKD can not only delay the progress of renal disease,but also reduce the risk of cardiovascular events. In recent years,although the guidelines for hypertension have put forward detailed suggestions for the management of hypertension in CKD patients,there are differences in the recommendation of blood pressure target value for CKD patients. Combined with the latest guidelines,this review interprets the blood pressure measurement methods,diagnostic criteria,antihypertensive targets and drug therapy in patients with CKD.