慢性肾脏病儿童高血压的诊断与治疗

现阶段慢性肾脏病(chronic kidney disease,CKD)的部分资料表明,CKD的儿童发现有高血压的比例达到42.1%,35.5%的患者在用降压药控制血压。研究表明绝大多数儿童在未行肾移植或透析治疗前都出现了高血压症状[1]。在我国因肾病住院的儿童中,CKD约为1.31%[2]。原发性高血压在儿童患者中不多,但继发性高血压占儿童高血压的80%以上,且年龄越小,比例越高[3～5]。肾性高血压为继发性高血压的绝大部分[6]。本文就CKD儿童高血压的诊治进行概述。

Diagnosis and treatment of hypertension in children with chronic kidney disease

At this stage,the part related to chronic kidney disease（CKD）information indicating that children entering CKD are found to be suffering from hypertention at 42.1%,35.5% of patients control blood pressure with antihypertensive drugs.Studies have shown that the vast majority of children appear hypertention symptoms before renal transplantation or dialysis.Children hospitalized with kidney disease in China,the morbidity rate of CKD is about 1.31%.In patients with essential hypertension in children is not much,but secondary hypertension accounts for more than 80%,and the younger,the higher rate.Most of the secondary hypertension is renal hypertension.This article overviews hypertension diagnosis and treatment in children＇s with CKD.