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目的了解非终末期肾脏病患者对肾实质性高血压(RHT)知晓、治疗及控制情况,为RHT防治工作提供依据。方法按统一方案对2005年6月至2006年12月辽宁地区就诊于中国医科大学附属第一医院肾内科门诊或住院的RHT患者进行调查。结果440例入选患者中345例(78.4%)知道自己患有肾脏病所致的高血压,162例(36.8%)接受规律药物治疗,仅7.2%患者血压得到有效控制(以130/80mmHg为标准)(1mmHg=0.133kPa)。标准为140/90mmHg时,控制率也仅有21.6%。影响患者接受治疗的主要原因是患者对RHT及长期治疗认识不足。肾功能对控制率影响明显。RHT知晓率、治疗率、控制率不受性别、年龄、文化程度影响。结论对RHT患者降压治疗要做好知识普及工作,制定个体化治疗方案,并长期监测、指导。
Objective To understand the knowledge, treatment and control of renal parenchymal hypertension (RHT) in patients with non-terminal renal disease and provide basis for prevention and treatment of RHT. Methods According to the unified plan, we investigated the RHT patients who visited the Department of Nephrology of the First Affiliated Hospital of China Medical University from June 2005 to December 2006 in Liaoning Province. RESULTS: Of the 440 patients enrolled, 345 (78.4%) knew they had hypertension due to kidney disease, 162 (36.8%) received regular drug therapy and only 7.2% achieved effective BP control (130/80 mm Hg ) (1 mmHg = 0.133 kPa). The standard is 140 / 90mmHg, the control rate is only 21.6%. The main reason affecting patients receiving treatment is that they lack awareness of RHT and long-term treatment. Renal function has obvious influence on the control rate. RHT awareness rate, treatment rate, control rate from gender, age, education level. Conclusions The antihypertensive treatment of RHT patients should do a good job popularization of knowledge, develop individualized treatment programs, and long-term monitoring and guidance.