Hypertensive nephropathy 5 years need to lower blood pressure, lower urinary protein treatment, along with dietary treatment, and lower creatinine treatment if necessary. Hypertensive nephropathy 5 years is often in the early stage of hypertensive nephropathy, at this time most of the patients show a small amount of urinary protein, and some patients can have interstitial damage, which is manifested as a decrease in the specific gravity of urine and an increase in nocturia. At this time, the main treatment is to strictly control the blood pressure, depending on the patient’s condition, maintain the blood pressure at 130~140/80~90mmHg, preferred Irbesartan, Ramipril and other renin-angiotensin-aldosterone system inhibitors, such drugs can not only lower the blood pressure, but also reduce the urinary protein, protect the kidneys. If necessary, you can add nifedipine extended-release tablets and other drugs. In addition to the diet need to pay attention to low-salt high-quality low-protein diet, daily salt intake is less than or equal to 6 grams. A small number of patients progress faster, creatinine can be increased within 5 years, at this time you can add drugs to reduce creatinine, such as medicinal charcoal tablets, or proprietary medicines such as urethane, Haikun Kidney Xie and so on. All of the above drugs should be used under the guidance of a physician. Patients with hypertensive nephropathy are advised to consult the hospital in time and follow the doctor’s instructions, so as not to delay the condition and cause adverse effects.