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

作　　者：翟志红[1] 王忠[1] 吴新玲 张景玉[3] 任宏强[1] 陈少泽[1] 

机构地区：[1]石河子大学医学院第一附属医院心内二科,新疆石河子832000 [2]石河子市第15中心社区,新疆石河子832000 [3]石河子大学医学院预防医学系,新疆石河子832000

出　　处：《临床荟萃》2017年第2期160-162,166,共4页Clinical Focus

基　　金：石河子大学重大科技攻关项目(gxjs2013-zdgg06-2)

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。Objective To evaluate the effects of stepped salt restriction on salt threshold, 24-hour urinary sodium excretion（24 h USE） 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（138 cases）, unified salt restriction group（124 cases）. 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）. Conclusion The stepped salt restriction model is feasible and effective in elderly patients with hypertension.

关 键 词：高血压 限盐 效果评价 尿钠 

分 类 号：R544.1[医药卫生—心血管疾病]