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慢性肾脏疾病(CKD)与高血压密切相关,两者互为因果,相互促进。合理的血压管理对延缓CKD进展具有重要意义。2012年国际肾脏病组织颁布了慢性肾脏疾病血压管理临床实践指南。根据蛋白尿水平的不同而制定了不同的血压靶目标值:尿白蛋白排泄率(UAER)<30mg/24h的非透析慢性肾脏疾病(CKD-ND)患者,无论是否合并糖尿病,若收缩压和(或)舒张压持续超过140mmHg和(或)90mmHg,则推荐使用降压药物维持血压≤140/90mmHg。
Chronic kidney disease (CKD) is closely related to high blood pressure, and the two are causal and mutually reinforcing. Rational blood pressure management is of great importance to delay the progression of CKD. 2012 International Nephrology Organization promulgated clinical practice guidelines for BP management in chronic kidney disease. According to different levels of proteinuria, different targets of blood pressure target were set up: Patients with non-dialysis chronic kidney disease (CKD-ND) with urinary albumin excretion rate (UAER) <30mg / 24h, whether with or without diabetes, (Or) diastolic blood pressure continued to exceed 140mmHg and (or) 90mmHg, it is recommended to use antihypertensive drugs to maintain blood pressure ≤ 140 / 90mmHg.