Renal function characteristic in patients with chronic kidney disease, chronic pyelonephritis and arterial hypertension

Abstract

Aim. To analyze nephroscintigraphy kidney functional state in patients with chronic kidney disease (CKD) on the background of chronic pyelonephritis (CRF) in combination with arterial hypertension (AH). Materials and methods. 81 patients with chronic kidney disease on the background of arterial hypertension and chronic pyelonephritis in the phase of incomplete clinical and laboratory remission were included in the research. Age varied from 25 to 60 years old (average age was 46 ± 9.0 years). The study was performed on the basis of Tyumen railway hospital and Tyumen state medical University multidisciplinary clinic. Results. In patients with CKD, caused by chronic pyelonephritis, and AH in the initial stage of the disease, we found that secretory phase is preserved. At the same time, the urinary tract excretory phase is elongated in both kidneys. Conclusion. In this category of patients with the initial stages of CKD, there is an excretion disorder in both kidneys, which may probably be associated with sclerosis in the urinary tract paries, that takes place in the conditions of a chronic inflammatory process.