强化降压治疗期间估算的肾小球滤过率初始降低与长期肾功能:收缩压干预试验与控制糖尿病患者心血管病风险行动研究-血压随机对照试验的事后分析

Initial estimated glomerular filtration rate decline and long-term renal function during intensive antihypertensive therapy:apost Hoc analysis of the SPRINT and ACCORD-BP randomized controlled trials

血压降低可导致估算的肾小球滤过率(estimated glomerular filtration rate,eGFR)的初始下降,但eGFR降低多少可以接受仍存在争议。研究人员对控制糖尿病心血管病风险行动(action to control cardiovascular risk in diabetes,ACCORD)-血压研究及收缩压干预试验(systolic blood pressure intervention trial,SPRINT)进行事后分析,两项研究均随机将患者分为强化或标准收缩压靶目标治疗。