《老友》专家门诊:我今年75岁,有20多年的高血压病史。一直在服厄贝沙坦和拉西地平,血压得到了控制。现在的问题是每天下午三四点至次日早晨6时,收缩压居高不下。我做了自测记录收缩压常在140~180mm Hg之间波动,有时甚至高达205mm Hg,而舒张压却总是在80mm Hg以下。我还有肾功能不全,曾做过左肾切除术,肌酐高时达151μmol/L,虽尿素氮和尿酸都正常,但是夜尿多,每晚要起五六次,甚至达10次左右。 “Friends” expert clinic: I am 75 years old, with more than 20 years of history of hypertension. Has been serving irbesartan and lacidipine, blood pressure has been brought under control. The problem now is that systolic blood pressure stays high from three to four in the afternoon until 6 am the next day. I did self-test recording systolic blood pressure fluctuated between 140 and 180 mm Hg, sometimes up to 205 mm Hg, and diastolic blood pressure was always below 80 mm Hg. I also have renal insufficiency, had done a left nephrectomy, creatinine high up to 151μmol / L, although urea nitrogen and uric acid are normal, but nocturia and more every night from the five or six times, or even up to 10 times.