Effects of follow-up management on blood pressure and glomerular filtration rate in patients with chronic kidney disease

Abstract

Objective To explore the effects of follow-up management on blood pressure and glomerular filtration rate (GFR) in patients with chronic kidney disease (CKD) . Methods Totally 660 CKD patients who established health records from June 2016 to June 2017 and received regular follow-up management in the Follow-up Management Center for CKD, West China Hospital, Sichuan University were selected by convenient sampling in this self-control study. The patients received follow-up management for CKD for 12 months and their blood pressure and GFR were measured before and after the follow-up. Results After the 12-month follow-up, the patients' systolic pressure and diastolic pressure were (126.76±16.35) mmHg and (77.85±10.84) mmHg respectively, both lower than those before the follow-up (t=42.7, 56.2; P<0.05) . The patients' GFR decreased 2.86 ml/min·1.73m2, whose falling range was better than the average level in China. Conclusion Follow-up management for CKD can effectively reduce the patients' blood pressure and delay the progress of their renal function, which is worth promoting in clinical practice. Key words: Blood pressure; Glomerular filtration rate; Chronic kidney disease; Follow-up management