The elderly hypertension complete to amalgamate renal function how select medicine _'s treatment
Step down goal of treatment for delay, fail and prevent from the intersection of cardiovascular vessel and disease by renal function.
In order to reach lt; The goal blood pressure level of 130/80mmHg, this kind of patient usually needs 3 or more of medicines to jointly treat.
(1)First-selected ACEI, ARBs - reduce the pressure in the glomerulus, resist inflammation, resist the fiber, protect the kidney. Early, capacity, long-term and uniting.
ACEI and ARB prove, can it improves diabetes to be or whether the intersection of diabetic nephropathy and prognosis step down medicine effectively.
( 2) Jointly use medicine ---Drug cocktail therapy ---Cause the thorough fare of u hypertension to block each one ---Diuretic, calcium resist pharmaceutical, ARB, receptor to block pharmaceutical or receptor and block pharmaceuticals short of moneyly such as uniting; Or some compound preparations such as precious chrysanthemum hypertension pill, reply and lower slicing
( 3) Prepare some fugitive depressor ----Urgently needed
( 4) During nephropathy end latter stage ( removing rate every 1.73 m2 lt of anhydride of skin; 30 mL/min, serum skin anhydride is 221- 265umol/L) Propose in step down at the foundation of medicine adding and using diuretic of Pan while being other.
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