The glomerular filtration rate is lower than 90 ml/min, and the etiology should be identified. If it is acute renal failure, the glomerular filtration rate can be restored to normal by rehydration, improving renal perfusion, relieving obstruction, discontinuing medication and other treatment options, and generally the glomerular filtration rate can be normalized; as a result of chronic renal disease, antihypertensive, correcting anemia and other treatments can be given, and the glomerular filtration rate generally can not be restored, and it may decline progressively.
1.Acute renal failure
(1) Pre-renal renal failure: patients with symptoms of diarrhea, blood loss and profuse sweating may have acute renal failure, which will reduce the glomerular filtration rate. For this disease, patients should be hospitalized in time, and actively replenish fluids, blood transfusion, etc., which is conducive to the return of glomerular filtration rate to normal.
(2) Post-renal obstructive factors: for example, hydronephrosis and urinary stones. For these diseases, glomerular filtration rate will be effectively restored after removing the factors affecting obstruction.
(3) Drug factors: some drugs can cause damage to the renal tubules, mainly manifested by a decrease in glomerular filtration rate. At this time, the drugs should be stopped immediately, and if necessary, hormones (such as prednisone acetate) can be used as prescribed by the doctor.
2. Chronic kidney disease: for this disease, we need to actively treat the primary disease, and pay attention to correcting complications, use hormone (prednisone acetate), immunosuppressant (cyclophosphamide), correct anemia (roxarestat), correct calcium and phosphorus disorders (calcium acetate, sevelamer), correct acidosis (sodium bicarbonate), etc., to try to slow down the progress of the disease.
If the glomerular filtration rate is lower than 90ml/min, it is recommended to consult a regular hospital and follow the doctor’s prescription for medication.