How to treat renal parenchymal hypertension?

summary

Renal parenchymal hypertension is caused by a variety of renal parenchymal diseases, so the treatment has become a topic of concern. It accounts for 5% to 10% of all hypertension, and its incidence rate is second only to essential hypertension. Now let's share how to treat renal parenchymal hypertension?.

How to treat renal parenchymal hypertension?

First, control diet, low salt diet: take less than 6G salt per day; The patients with large amount of proteinuria (> 1 g / D) and renal insufficiency should have a high quality and low protein diet, that is, high biological value protein should be selected, and the amount of protein should be controlled at 0.3-0.6 g / kg body weight.

Second: etiological treatment according to the primary kidney disease etiological treatment is fundamental.

Third: symptomatic treatment to control blood pressure. According to the latest 2013 European hypertension guidelines, the target blood pressure of patients with renal parenchymal hypertension is less than 140 / 90mmHg, and that of diabetic patients with proteinuria is less than 140 / 85mmHg. All kinds of antihypertensive drugs can be used in patients with renal parenchymal hypertension, and most of them need a combination of drugs to reach the standard.

matters needing attention

In recent years, more and more attention has been paid to the single compound fixed preparation in combination therapy. In antihypertensive treatment, attention should be paid to monitoring renal function and adjusting the drug dosage accordingly.