How to Prevent Hypertension from Aggravating to Uremia

Many people know that the stroke easily happen to the hyperpietics, in fact, the relation between hypertension and uremia is rather close. If the hypertensive nephropathy can not be treated systematically and effectively in the early stage, it at last will aggravate to renal insufficiency uremia. According to researches,15 percent of hypertension will develop into uremia, and whether we can control the blood pressure will directly influence the occurrence 、development、curative effect and prognosis of uremia. Therefore, the patients of hypertensive nephropathy should take regular examinations and prevent the uremia. Concretely, there are the following aspects we should pay attention to:

First, control the blood pressure on the ideal level

China is a country with a large number of hypertension patients, and the hypertension patients of our country are faced with the phenomena: low awareness rate, low medication rate and low control rate. According to the general survey, only less than 50 percent of patients have realized they are hypertension, and among them, less than 12.5percent are taking medicine to treat the hypertension; and only 2.9percent of them can control the blood pressure in the ideal level. Therefore, we should spread the publicity of hypertension and it is extremely urgent to enhance the people's cognition of the hazard of hypertension.

Second, take close examination of renal function

It is the precondition of preventing the damage of renal function to control the blood pressure in the ideal level. Ta the same time, we should take close examination of the renal function of the hypertension patients.

1. Take regular examination of renal function, including Ccr (endogenous creatinine clearanee rate), Scr, urea nitrogen, it would be best to take an examination every two months.

Take close observation to see whether there are early symptoms of uremia, such as the symptoms of lassitude and soreness of waist etc. the symptom of digestive tract like inappetence and sickness, and the symptom of anemia like sallow complexion, tongue nature light, lib and eyelid pale. So, once these relevant symptoms occurred, we should take a renal examination to determine whether there are any problems.

All the patients with the decrease of cer endogenous creatinine clearanee rateand and the increase of scr and urea nitrogen should be treated with the therapeutic schedule of the early stage of uremia.

Third, choose therapeutic schedule and medicine reasonably


There are varieties of categories of antihypertensive drugs, which are suitable for different types of symptoms. The basic principle of choosing antihypertensive drugs is that the drugs do not contain the renal toxicity or even possess the function of renal protection. Research shows that ACEI, ARB, CCB, and βBRB can not only control the blood pressure but also can protect our kidney. As to the remedy of hypertension, it will be much better for the stability of blood pressure and renal protection if we coordinate the western hypotensor with Chinese medicine which can regulate blood pressure and tonify liver and kidney.