Control of hypertension in patients with chronic kidney disease and its associated factors
10.3760/cma.j.issn.1001-7097.2011.08.006
- VernacularTitle:慢性肾脏病患者高血压的控制及其相关因素
- Author:
Xiao-hong JIN
;
Ying WANG
;
Wei-feng FAN
;
Qi ZHANG
;
Li-hong LUO
;
Ying-jun QIAN
;
Peng LI
;
Li-hong NG ZHA
;
Jian-ying NIU
;
Yong GU
- Publication Type:Journal Article
- Keywords:
Kidney disease,chronic;
Hypertension;
Angiotensin-converting enzyme inhibitors;
Diabetes
- From:
Chinese Journal of Nephrology
2011;27(8):576-580
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the management and control of hypertension in patients with chronic kidney disease(CKD) and its associated factors.Methods Data of 726in-patients with CKD and hypertension who hospitalized in our hospital from March 2009 to April 2010 were studied.Results 91.74％ of patients was treated with antihypertensive medications,and 21.21％, 22.59％, 19.56％, 28.37％ of patients received 1, 2, 3, ≥4 antihypertensive drugs,respectively.42.4％ of patients with CKD and hypertension could be controlled up to the standard,and the mean blood pressure was(137.86±20.75)/(76.30±11.35) mm Hg.There was significant difference among stage 1 plus 2, 3, 4 plus 5 (non-dialysis), 5 (dialysis) kidney diseases, with the hypertension control rate being 50.8％, 46.7％, 42.0％, 33.5％, respectively.The hypertension control rate of non-dialysis patients was significantly higher than that of dialysis (44.9％ vs 33.5％,P＜0.05).There was no significant difference between blood dialysis group and peritoneal dialysis group(32.3％ vs 38.7％, P＞0.05).Multivariate Logistic regression analysis showed that female (OR=1.787, 95％CI 1.045-3.056)and ACEI application (OR=4.378, 95％CI1.830-10.472) were positively associated with hypertension control.Whereas, diabetes (OR=0.415, 95％CI 0.188-0.919)and pulse pressure (OR =0.847, 95％ CI 0.811-0.885) were associated with inadequate blood pressure control.ConclusionsDespite almost universal hypertension treatment is used in patients with CKD and high blood pressure, the hypertension control rate is still suboptimal.Female and ACEI are positively associated with adequate hypertension control, whereas diabetes and pulse pressure are negatively associated with the standard.
