Elderly hypertensive patients with chronic kidney disease treatment progress.docVIP

 PAGE \* MERGEFORMAT 19 Elderly hypertensive patients with chronic kidney disease treatment progress [Abstract] chronic kidney disease is very common, my adult-onset rate of 9.4%. Hypertension in the elderly a higher incidence of chronic kidney disease, high blood pressure over 70 years old with chronic kidney disease stage Ⅲ and above up to 30%. Associated with chronic kidney disease, the greater the need for strict control of blood pressure, but because of reduced risk of cardiovascular disease, increased drug use is limited, resulting in the sick people morbidity, mortality rates and medical costs have increased. At the same time, because of its very low awareness rate, accounting for only 7% of these patients assessed with the MDRD formula for glomerular filtration rate, check urine albumin, can improve the early diagnosis of chronic kidney disease, awareness, medication rates, This is also the key to slow down the progress of heart and kidney disease. Associated with chronic kidney disease, the resistance to hypertension more common. In order to protect the heart and kidney, we must strictly control blood pressure and optimization of converting enzyme inhibitor treatment. Paper is based on the current progress, put forward countermeasures and specific method for the treatment. [Keywords:] in elderly hypertensive; chronic kidney disease; resistant hypertension;-converting enzyme inhibitors Chronic kidney disease is very common, due to onset hidden, not obvious early symptoms, awareness is very low, 7%. The main cause of death was cardiovascular disease. Chronic kidney disease has been recognized as a risk factor for coronary heart disease. Hypertension, diabetes, metabolic syndrome has become an important cause of chronic kidney disease. Incidence of hypertension among Chinese adults was 18.8%; over 65 years the incidence of hypertension was 50%; the United States over the age of 70 hypertensive patients with chronic kidney disease stage Ⅲ and above ab