How to treat renal hypertension

Renal hypertension is mainly due to elevated blood pressure caused by renal parenchymal lesions and renal artery lesions, and it is a more common secondary hypertension. Treatment mainly includes active control of blood pressure, control of primary diseases, and lifestyle intervention. 1. Control of blood pressure: Usually, angiotensin-converting enzyme inhibitors such as captopril and benazepril, angiotensin II receptor antagonists such as timosartan and valsartan, dihydropyridine calcium antagonists such as nifedipine and diuretics such as furosemide and torasemide can be used for treatment. In principle, drugs should be used to avoid renal damage drugs, start with low doses, and combine drugs. 2. Control the primary disease: such as acute and chronic glomerulonephritis, nephrotic syndrome, lupus nephritis, chronic renal failure and other renal disease caused by hypertension, need to actively control the primary disease, can follow the doctor’s instructions to take glucocorticoids such as methylprednisolone and immunosuppressants such as cyclophosphamide to improve the condition; patients with chronic renal failure need to be regular hemodialysis or peritoneal dialysis and other treatments. If blood pressure rises due to renal artery stenosis, peri-renal artery embolism and other renal artery pathologies, angioplasty, stent implantation and other surgical procedures are feasible to improve the condition if necessary. 3. Lifestyle intervention: low-salt and low-fat diet, active weight control, appropriate exercise, reasonable diet, adjusting dietary structure according to proteinuria, renal function, electrolytes, etc., quitting smoking and drinking. It is recommended that patients with renal hypertension should consult a doctor in time and follow the doctor’s instructions to standardize the treatment and control the blood pressure in a reasonable range to avoid further damage to the renal function due to poor control of blood pressure.