切换至 "中华医学电子期刊资源库"

中华肾病研究电子杂志 ›› 2016, Vol. 05 ›› Issue (04) : 152 -154. doi: 10.3877/cma.j.issn.2095-3216.2016.04.002

所属专题: 文献

专家论坛

糖尿病肾病患者的血压管理
何娅妮1,(), 林利容1   
  1. 1. 400042 重庆,第三军医大学大坪医院野战外科研究所肾脏内科
  • 收稿日期:2016-05-21 出版日期:2016-08-28
  • 通信作者: 何娅妮

Blood pressure management for patients with diabetic nephropathy

Yani He1,(), Lirong Lin1   

  1. 1. Department of Nephrology, Institute of Field Surgery, Daping Hospital Affiliated to Third Military Medical University, Chongqing 400042, China
  • Received:2016-05-21 Published:2016-08-28
  • Corresponding author: Yani He
  • About author:
    Corresponding author: He Yani, Email:
引用本文:

何娅妮, 林利容. 糖尿病肾病患者的血压管理[J]. 中华肾病研究电子杂志, 2016, 05(04): 152-154.

Yani He, Lirong Lin. Blood pressure management for patients with diabetic nephropathy[J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2016, 05(04): 152-154.

高血压作为心血管疾病传统的危险因素,在糖尿病肾病进展中起到了重要作用。掌握糖尿病肾病高血压诊断标准、把握适当的干预时机、给予准确治疗和降压达标是减少糖尿病肾病进展至终末期肾脏病的重要措施。

As a traditional risk factor for cardiovascular disease, hypertension plays an important role in the progression of diabetic nephropathy.To master the diagnostic criteria of hypertension in diabetic nephropathy, to grasp the opportunity for intervention, and to offer accurate treatment for controlling blood pressure are important measures for delaying the progression of diabetic nephropathy to end-stage renal disease.

[1]
Adler AI,Stevens RJ,Manley SE, et al. Development and progression of nephropathy in type 2 diabetes: the United Kingdom Prospective Diabetes Study (UKPDS 64)[J]. Kidney Int, 2003, 63(1): 225-232.
[2]
Heerspink HJ,Ninomiya T,Zoungas S, et al. Effect of lowering blood pressure on cardiovascular events and mortality in patients on dialysis: a systematic review and meta-analysis of randomised controlled trials[J]. Lancet, 2009, 373(9668): 1009-1015.
[3]
Mancia G,Fagard R,Narkiewicz K, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)[J]. J Hypertens, 2013, 31(7): 1281-1357.
[4]
James PA,Oparil S,Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)[J]. JAMA, 2014, 311(5): 507-520.
[5]
KDIGO Work Group. KDIGO clinical practice guideline for the management of blood pressure in chronic kidney disease[J]. Kidney Int Suppl, 2012, 2(5): 337-414.
[6]
American Diabetes Association. Standards of medical care in diabetes-2013[J]. diabetes Care, 2013, 36(Suppl 1): S11-S66.
[7]
American Diabetes Association. Standards of medical care in diabetes-2016 abridged for primary care providers[J]. Clin Diabetes, 2016, 34(1): 3-21.
[8]
American Diabetes Association. Standards of medical care in diabetes-2015[J]. Diabetes Care, 2015, 38(Suppl 1): S1-S174.
[9]
Kidney Disease Outcomes Quality Initiative (K/DOQI). K/DOQI clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease[J]. Am J Kidney Dis, 2004, 43(5 Suppl 1): S1-S290.
[10]
Hsu TW,Liu JS,Hung SC, et al. Renoprotective effect of renin-angiotensin-aldosterone system blockade in patients with predialysis advanced chronic kidney disease, hypertension, and anemia[J]. JAMA Intern Med, 2014, 174(3): 347-354.
[11]
Law MR,Morris JK,Wald NJ. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies[J]. BMJ, 2009, 338: b1665.
[12]
Palmer SC,Mavridis D,Navarese E, et al. Comparative efficacy and safety of blood pressure-lowering agents in adults with diabetes and kidney disease: a network meta-analysis[J]. Lancet, 2015, 385(9982): 2047-2056.
[13]
Bakris GL,Agarwal R,Chan JC. Effect of finerenone on albuminuria in patients with diabetic nephropathy: a randomized clinical trial[J]. JAMA, 2015, 314(9): 884-894.
[14]
Dussol B,Moussi-Frances J,Morange S, et al. A pilot study comparing furosemide and hydrochlorothiazide in patients with hypertension and stage 4 or 5 chronic kidney disease[J]. J Clin Hypertens (Greenwich), 2012, 14(1): 32-37.
[15]
James PA,Oparil S,Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)[J]. JAMA, 2014, 311(5): 507-520.
[16]
Dahlöf B,Devereux RB,Kjeldsen SE, et al. Cardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol[J]. Lancet, 2002, 359(9311): 995-1003.
[17]
Badve SV,Roberts MA,Hawley CM, et al. Effects of beta-adrenergic antagonists in patients with chronic kidney disease: a systematic review and meta-analysis[J]. J Am Coll Cardiol, 2011, 58(11): 1152-1161.
[18]
Solini A,Zoppini G,Orsi E, et al. Resistant hypertension in patients with type 2 diabetes: clinical correlates and association with complications[J]. J Hypertens, 2014, 32(12): 2401-2410.
[19]
De Nicola L,Gabbai FB,Agarwal R, et al. Prevalence and prognostic role of resistant hypertension in chronic kidney disease patients[J]. J Am Coll Cardiol, 2013, 61(24): 2461-2467.
[1] 中华医学会骨科学分会关节外科学组, 广东省医学会骨质疏松和骨矿盐疾病分会, 广东省佛山市顺德区第三人民医院. 中国髋部脆性骨折术后抗骨质疏松药物临床干预指南(2023年版)[J]. 中华关节外科杂志(电子版), 2023, 17(06): 751-764.
[2] 许正文, 李振, 侯振扬, 苏长征, 朱彪. 富血小板血浆联合植骨治疗早期非创伤性股骨头坏死[J]. 中华关节外科杂志(电子版), 2023, 17(06): 773-779.
[3] 李培杰, 乔永杰, 张浩强, 曾健康, 谭飞, 李嘉欢, 王静, 周胜虎. 细菌培养阴性的假体周围感染诊治的最新进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 827-833.
[4] 王得晨, 杨康, 杨自杰, 归明彬, 屈莲平, 张小凤, 高峰. 结直肠癌微卫星稳定状态和程序性死亡、吲哚胺2,3-双加氧酶关系的研究进展[J]. 中华普通外科学文献(电子版), 2023, 17(06): 462-465.
[5] 彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.
[6] 马伟强, 马斌林, 吴中语, 张莹. microRNA在三阴性乳腺癌进展中发挥的作用[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 111-114.
[7] 李建美, 邓静娟, 杨倩. 两种术式联合治疗肝癌合并肝硬化门静脉高压的安全性及随访评价[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 41-44.
[8] 张海涛, 康婵娟, 翟静洁. 胰管支架置入治疗急性胆源性胰腺炎效果观察[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 654-657.
[9] 杨雪, 张伟, 尚培中, 宋创业, 尚丹丹, 张蔚. 胆囊十二指肠瘘结石经瘘口排出后自愈一例报道[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 707-708.
[10] 孔博, 张璟, 吕珂. 超声技术在复杂腹壁疝诊治中的作用[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 670-673.
[11] 姜明, 罗锐, 龙成超. 闭孔疝的诊断与治疗:10年73例患者诊疗经验总结[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 706-710.
[12] 陆志峰, 周佳佳, 梁舒. 虚拟现实技术在治疗弱视中的临床应用研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 891-895.
[13] 李田, 徐洪, 刘和亮. 尘肺病的相关研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 900-905.
[14] 岳瑞雪, 孔令欣, 郝鑫, 杨进强, 韩猛, 崔国忠, 王建军, 张志生, 孔凡庭, 张维, 何文博, 李现桥, 周新平, 徐东宏, 胡崇珠. 乳腺癌HER2蛋白表达水平预测新辅助治疗疗效的真实世界研究[J]. 中华临床医师杂志(电子版), 2023, 17(07): 765-770.
[15] 符梅沙, 周玉华, 李慧, 薛春颜. 淋巴细胞免疫治疗对复发性流产患者外周血T淋巴细胞亚群分布与PD1/PD-L1表达的影响及意义[J]. 中华临床医师杂志(电子版), 2023, 17(06): 726-730.
阅读次数
全文


摘要