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阶梯式限盐降低老年高血压患者盐阈及尿钠的效果评价

Effect evaluation of stepped salt restriction on salt threshold and urinary sodium excretion in aged hypertention

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【作者】 翟志红王忠吴新玲张景玉任宏强陈少泽

【Author】 Zhai Zhihong;Wang Zhong;Wu Xinling;Zhang Jingyu;Ren Hongqiang;Chen Shaoze;Department of Cardiology,the First Affiliated Hospital,College of Medicine,Shihezi University;15th Center Community of Shihezi;Department of Preventive Medicine,College of Medicine,Shihezi University;

【机构】 石河子大学医学院第一附属医院心内二科石河子市第15中心社区石河子大学医学院预防医学系

【摘要】 目的评价阶梯式限盐模式对老年高血压患者盐阈、尿钠及血压控制的效果。方法选择新疆石河子市5个社区老年高血压患者为研究对象,随机分为阶梯式限盐组138例和统一式限盐组124例,通过半年的限盐干预,分别测定限盐干预前及结束后的盐阈和24小时尿钠量。结果限盐干预结束后,盐阈、24小时尿钠量及平均每日摄盐量在两组均下降,阶梯式限盐组较统一式限盐组下降更显著(P<0.05);阶梯式限盐组收缩压、舒张压较统一式限盐组显著下降(P<0.05)。结论阶梯式限盐在社区老年高血压管理中是一种有效、可行的限盐模式。

【Abstract】 Objective To evaluate the effects of stepped salt restriction on salt threshold,24-hour urinary sodium excretion(24hUSE)and blood pressure control in aged hypertension patients.Methods Aged hypertension patients in five residential areas of Shihezi were randomly divided into two groups:stepped salt restriction group(138cases),unified salt restriction group(124cases).Process control lasted for half a year.Salt threshold and 24 h USE were detected before the salt restriction and examined again when the salt restriction was completed.Results Salt threshold,24 h USE and average daily intake of salt were significantly decreased in stepped salt restriction group compared with those of unified salt restriction group(P <0.05).Systolic blood pressure and diastolic blood pressure decreased significantly in stepped salt restriction group than in unified salt restriction group(P <0.05).ConclusionThe stepped salt restriction model is feasible and effective in elderly patients with hypertension.

【基金】 石河子大学重大科技攻关项目(gxjs2013-zdgg06-2)
  • 【分类号】R544.1
  • 【被引频次】6
  • 【下载频次】132
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