猫茶 发表于 2021-9-16 10:46

得了高血压,如何护住您的肾?

<h2 style="font-weight: bold;white-space: normal;line-height: 1.6em;"><br/></h2><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">&nbsp; &nbsp; &nbsp; 众所周知,高血压和肾病是可以互为因果的,高血压可以导致高血压肾病,同时肾病也可以导致肾性高血压,那么得了高血压,我们要怎么样来护住我们的肾呢?</span></p><p><section data-support="96编辑器" data-style-id="33190"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display:inline-block;"><section style="background-color: rgb(254, 241, 241);border-radius: 40px;padding: 1px 14px;box-sizing: border-box;"><section style="margin-top: -5px;margin-bottom: -5px;display: flex;justify-content: center;align-items: flex-end;"><section style="background-color: rgb(255, 0, 0);padding: 3px;width: 34px;height: 34px;border-radius: 50%;color: rgb(255, 255, 255);box-sizing: border-box;"><p><em>一</em></p></section><section style="margin-left: 5px;border-width: 1px;border-style: solid;border-color: rgb(255, 0, 0);padding: 3px 30px;border-radius: 40px;box-sizing: border-box;"><section style="color: #ff0000;font-size: 18px;letter-spacing: 2px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p><strong><span style="font-size: 16px;">定期评估</span></strong></p></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="32898"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-left: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-right: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section></section><section style="margin:-34px 12px;"><p></p></section><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="margin-bottom: -1px;margin-left: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="margin-bottom: -1px;margin-right: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"><span style="font-size: 16px;letter-spacing: 1px;">&nbsp; &nbsp; &nbsp;&nbsp;</span>得了高血压病,我们需要定期评估肾脏功能,主要监测指标是eGFR和尿微量白蛋白/肌酐,建议高血压患者每年进行至少一次肾功能及尿微量白蛋白/肌酐检测,评估肾功能。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="33190"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display:inline-block;"><section style="background-color: rgb(254, 241, 241);border-radius: 40px;padding: 1px 14px;box-sizing: border-box;"><section style="margin-top: -5px;margin-bottom: -5px;display: flex;justify-content: center;align-items: flex-end;"><section style="background-color: rgb(255, 0, 0);padding: 3px;width: 34px;height: 34px;border-radius: 50%;color: rgb(255, 255, 255);box-sizing: border-box;"><p><em>二</em></p></section><section style="margin-left: 5px;border-width: 1px;border-style: solid;border-color: rgb(255, 0, 0);padding: 3px 30px;border-radius: 40px;box-sizing: border-box;"><section style="color: #ff0000;font-size: 18px;letter-spacing: 2px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p><strong><span style="font-size: 16px;">调整生活方式</span></strong></p></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="32898"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-left: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-right: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section></section><section style="margin:-34px 12px;"><p></p></section><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="margin-bottom: -1px;margin-left: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="margin-bottom: -1px;margin-right: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(1)体育锻炼:高血压肾病早期建议参加能够耐受的体育锻炼(每周至少5次,每次30分钟),对大量蛋白尿、严重高血压、严重肾功能受损不建议大量运动;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(2)保持健康体重:维持BMI在18.5-24之间;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(3)戒烟;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(4)规律作息,避免劳累,避免呼吸道尤其是扁桃体炎;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(5)放松心情,避免情绪紧张。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="33190"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display:inline-block;"><section style="background-color: rgb(254, 241, 241);border-radius: 40px;padding: 1px 14px;box-sizing: border-box;"><section style="margin-top: -5px;margin-bottom: -5px;display: flex;justify-content: center;align-items: flex-end;"><section style="background-color: rgb(255, 0, 0);padding: 3px;width: 34px;height: 34px;border-radius: 50%;color: rgb(255, 255, 255);box-sizing: border-box;"><p><em>三</em></p></section><section style="margin-left: 5px;border-width: 1px;border-style: solid;border-color: rgb(255, 0, 0);padding: 3px 30px;border-radius: 40px;box-sizing: border-box;"><section style="color: #ff0000;font-size: 18px;letter-spacing: 2px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p><strong><span style="font-size: 16px;">营养治疗</span></strong></p></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="32898"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-left: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-right: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section></section><section style="margin:-34px 12px;"><p></p></section><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="margin-bottom: -1px;margin-left: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="margin-bottom: -1px;margin-right: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(1)蛋白质及热量摄入:推荐蛋白质摄入量为0.6-0.8g/(kg.d),当EGFR低于60ml/min•1.73m^2时建议开始低蛋白优质蛋白饮食,推荐蛋白质摄入量低于0.6g/(kg.d),低蛋白饮食的时候注意保持能量的摄入,热卡摄入量需维持在147KJ/(kg.d)以上,对60岁以上患者活动量较小,营养状态良好者可减少至126-147KJ/(kg.d);</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(2)限盐摄入 慢性肾脏病成人患者钠摄入量宜<90mmol/d</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">(3)其他营养物质的摄入:如合并高尿酸血症应低嘌呤饮食等。</span></p><p><section data-support="96编辑器" data-style-id="33190"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display:inline-block;"><section style="background-color: rgb(254, 241, 241);border-radius: 40px;padding: 1px 14px;box-sizing: border-box;"><section style="margin-top: -5px;margin-bottom: -5px;display: flex;justify-content: center;align-items: flex-end;"><section style="background-color: rgb(255, 0, 0);padding: 3px;width: 34px;height: 34px;border-radius: 50%;color: rgb(255, 255, 255);box-sizing: border-box;"><p><em>四</em></p></section><section style="margin-left: 5px;border-width: 1px;border-style: solid;border-color: rgb(255, 0, 0);padding: 3px 30px;border-radius: 40px;box-sizing: border-box;"><section style="color: #ff0000;font-size: 18px;letter-spacing: 2px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p><strong><span style="font-size: 16px;">谨慎用药</span></strong></p></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="32898"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-left: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-right: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section></section><section style="margin:-34px 12px;"><p></p></section><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="margin-bottom: -1px;margin-left: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="margin-bottom: -1px;margin-right: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;对于一些药物诱导可能导致急性肾损伤,应暂停有潜在肾毒性和经肾排泄的药物,如RAS系统阻滞剂、利尿剂、非甾体抗炎药、二甲双胍、地高辛等。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="33190"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display:inline-block;"><section style="background-color: rgb(254, 241, 241);border-radius: 40px;padding: 1px 14px;box-sizing: border-box;"><section style="margin-top: -5px;margin-bottom: -5px;display: flex;justify-content: center;align-items: flex-end;"><section style="background-color: rgb(255, 0, 0);padding: 3px;width: 34px;height: 34px;border-radius: 50%;color: rgb(255, 255, 255);box-sizing: border-box;"><p><em>五</em></p></section><section style="margin-left: 5px;border-width: 1px;border-style: solid;border-color: rgb(255, 0, 0);padding: 3px 30px;border-radius: 40px;box-sizing: border-box;"><section style="color: #ff0000;font-size: 18px;letter-spacing: 2px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p><strong><span style="font-size: 16px;">合理治疗</span></strong></p></section></section></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">(1)控制血压</span></strong><span style="font-size: 16px;color: rgb(255, 76, 65);"></span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"><span style="font-size: 16px;letter-spacing: 1px;">&nbsp; &nbsp; &nbsp;&nbsp;</span>无论是否合并糖尿病,当AER≤30mg/d时,维持血压≤140/90mmHg;AER>30mg/d时,维持血压≤130/80mmHg。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"><span style="font-size: 16px;letter-spacing: 1px;">&nbsp; &nbsp; &nbsp;&nbsp;</span>合理选择降压药物,无蛋白尿高血压患者,可选择ACEI、ARB、CCB等,有蛋白尿的高血压肾病首选ACEI或ARB;严重高血压患者可选择2种(单片复方制剂)或以上的降压药物联合治疗,对肌酐已经升高EGFR≤45ml/min•1.73m^2的患者,选用ACEI或ARB类药物时可以考虑减量使用并密切监测肾功能及电解质,在1-2周检测GFR和血清钾,当血清肌酐升高小于30%时可继续使用,当血清肌酐升高超过30%时应减量或停药病寻找原因。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">(2)控制蛋白尿</span><span style="font-size: 16px;">&nbsp;</span></strong><span style="font-size: 16px;"></span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"><span style="font-size: 16px;letter-spacing: 1px;">&nbsp; &nbsp; &nbsp;&nbsp;</span>对于出现蛋白尿患者,若无禁忌症,建议选用ACEI或ARB类;对于合并原发或继发性肾小球疾病,如膜型肾病等,需要使用糖皮质激素及免疫抑制剂等。</span></p><p><section data-support="96编辑器" data-style-id="32898"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-left: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-right: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section></section><section style="margin:-34px 12px;"><p></p></section><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="margin-bottom: -1px;margin-left: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="margin-bottom: -1px;margin-right: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">(3)并发症的防治</span></strong><span style="font-size: 16px;color: rgb(255, 76, 65);"></span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">①贫血:多数慢性肾脏病贫血患者需要使用红细胞生成素(ESA)治疗,治疗4周后开始调整剂量,同时应对铁状态进行评估,对于非透析CKD贫血成人患者未给予铁剂治疗者,如转铁蛋白饱和度≤30%、铁蛋白≤500g/l,建议给予1-3个月口服铁剂治疗。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">②心脑血管疾病:对存在动脉粥样硬化风险的CKD患者,除非出血风险大于心血管获益,应予抗血小板药物治疗等;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">③骨代谢异常:根据血钙、血磷及PTH等水平调整钙磷摄入量,对于G3期以上患者应限制磷的摄入量为800-1000mg/d,血磷过高可考虑予肠道磷结合剂;使用活性维生素D及适量补充钙剂使血钙维持正常范围内。</span></p><p style="letter-spacing: 1px;line-height: 2em;"><strong><span style="font-size: 16px;color: rgb(255, 76, 65);">(4)透析治疗</span><span style="font-size: 16px;"> &nbsp;</span></strong><span style="font-size: 16px;"></span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"><span style="font-size: 16px;letter-spacing: 1px;">&nbsp; &nbsp; &nbsp;&nbsp;</span>有尿毒症临床表现和体征,eGFR下降至5-8ml/(min*1.73m^2)时应开始透析治疗;紧急透析指征:</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">①药物不能控制的高钾血症:血钾>6.5mmol/l;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">②水钠潴留、少尿、无尿、高度浮肿伴有心力衰竭、肺水肿,高血压;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">③严重代谢性酸中毒:PH<7.2;</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;">④并发尿毒症性心包炎、胸膜炎、中枢神经系统症状如神志恍惚、嗜睡、昏迷、抽搐、精神症状等。</span></p><p><section data-support="96编辑器" data-style-id="32898"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-left: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section><section style="margin-top: -1px;margin-right: 7px;width: 40px;height: 40px;border-top: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section></section><section style="margin:-34px 12px;"><p></p></section><section style="display: flex;justify-content:space-between;align-items:center;"><section><section style="margin-bottom: -1px;margin-left: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-left: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);box-sizing: border-box;"><br/></section></section><section><section style="margin-bottom: -1px;margin-right: 7px;width: 40px;height: 40px;border-bottom: 1px solid rgb(217, 186, 197);border-right: 1px solid rgb(217, 186, 197);box-sizing: border-box;"><br/></section><section style="width: 8px;height: 8px;border-width: 1px;border-style: solid;border-color: rgb(217, 186, 197);margin-left: auto;box-sizing: border-box;"><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"><span style="font-size: 16px;letter-spacing: 1px;">&nbsp; &nbsp; &nbsp;&nbsp;</span>透析治疗是肾病终末期的治疗方式,虽然透析治疗可以使终末期肾病患者生命得以延续,但现实是病人一旦开启透析治疗很多时候生命长度和生命的质量都变得很差,而且严重影响了一家人的生活质量,给家庭带来严重的经济负担,所以如何避免肾病的发生及如何早期干预肾病显得尤为重要,对于高血压患者控制好血压,综合管理好自己的生活饮食习惯是规避高血压肾病的基石,定期监测是肾病早期诊断早期治疗的有效措施,愿我们每个患者都能呵护好自己的肾,呵护好自己的健康!</span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"><br/></span></p><p style="white-space: normal;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 1px;line-height: 2em;"></p><p><section style="white-space: normal;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;"><section><section style="margin-top: 10px;margin-bottom: 10px;"><section style="padding-left: 11px;display: inline-block;width: 676.994px;vertical-align: top;box-sizing: border-box;"><section><section style="display: inline-block;width: 665.997px;vertical-align: top;background-color: rgba(255, 255, 255, 0);border-style: solid;border-width: 1px;border-radius: 0px;border-color: rgb(7, 48, 196);box-sizing: border-box;"><section><section style="margin-top: 10px;display: flex;flex-flow: row nowrap;text-align: left;justify-content: flex-start;transform: translate3d(-8px, 0px, 0px);"><section style="display: inline-block;vertical-align: top;width: auto;line-height: 0;letter-spacing: 0px;flex: 0 0 0%;height: auto;align-self: flex-start;"><section style="text-align: right;justify-content: flex-end;"><section style="display: inline-block;width: 8px;height: 45px;vertical-align: top;overflow: hidden;"><section style="text-align: center;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 7.8267px;height: auto;"><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewbox="0 0 1.5 8.7" style="vertical-align: middle;width: 100%;" width="100%" data-width="100%"><g><path d="M1.5,0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V0.2z" fill="rgb(255,255,255)"></path></g><g><path d="M0.2,7.7H0V1c0-0.5,0.7-1,1.5-1v0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V7C0.8,7,0.2,7.3,0.2,7.7   z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,8.7C0.7,8.7,0,8.3,0,7.7s0.7-0.9,1.5-0.9V7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V8.7z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V7z" fill="#5f9cef"></path></g></svg></section></section></section></section></section><section style="margin-left: -1px;display: inline-block;vertical-align: top;width: auto;flex: 100 100 0%;align-self: flex-start;height: auto;"><section style="justify-content: flex-start;"><section style="padding-right: 20px;padding-left: 10px;display: inline-block;vertical-align: top;overflow: hidden;height: 36px;width: auto;min-width: 10%;border-width: 1px;border-bottom-right-radius: 100px;border-style: solid solid solid none;border-color: rgb(7, 48, 196) rgb(7, 48, 196) rgb(7, 48, 196) rgb(138, 50, 222);border-top-right-radius: 100px;border-bottom-left-radius: 0px;box-sizing: border-box;"><section style="color: rgb(7, 48, 196);text-align: center;letter-spacing: 2px;line-height: 2.2;"><p><strong>联系方式</strong></p></section></section></section></section></section></section><section style="margin-bottom: 10px;"><section style="padding-right: 20px;padding-left: 20px;color: rgb(62, 62, 62);letter-spacing: 1.8px;line-height: 1.8;box-sizing: border-box;"><section style="line-height: 2em;">1、咨询株洲恺德心血管病医院订阅号<strong><span style="color: rgb(7, 48, 196);">在线客服;</span></strong><br data-filtered="filtered"/>2、咨询电话:<strong><span style="color: rgb(7, 48, 196);">0731-28260137</span></strong></section><section style="line-height: 2em;">3、联系地址:株洲恺德心血管病医院<span style="color: rgb(7, 48, 196);"><strong>第二住院大楼3楼(心血管内三科)</strong></span></section></section></section></section></section></section></section></section><section><section style="letter-spacing: 0.544px;text-align: right;font-size: 12px;"><section style="margin-top: 10px;margin-bottom: 10px;font-size: 16px;letter-spacing: 0.544px;"><section style="border-top: 1px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section data-filtered="filtered" style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section><section style="margin-top: 3px;border-top: 4px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section data-filtered="filtered" style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section></section><section style="letter-spacing: 0.544px;"><p><span style="letter-spacing: 0.544px;">文案:刘平平</span><span style="letter-spacing: 0.544px;font-size: 17px;text-align: justify;"></span></p></section></section></section></section></p><h2 style="font-weight: bold;white-space: normal;line-height: 1.6em;"><br/></h2><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_XmH" id="wcn_editor_css"/>

百褶裙花痴 发表于 2021-9-16 10:59

受教了

hurrion 发表于 2021-9-16 11:25

愚公吻异 发表于 2021-9-16 11:37

阔以阔以

志同道合 发表于 2021-9-16 12:08

病从口入!

liaobb 发表于 2021-9-16 12:41

学习了

251314 发表于 2021-9-16 16:32

都不敢看,年纪来了,什么病都开始找上门了
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查看完整版本: 得了高血压,如何护住您的肾?