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中国高血压患者盐摄入量与血压管理专家建议:中国医师协会高血压专业委员会。

An expert recommendation on salt intake and blood pressure management in Chinese patients with hypertension: A statement of the Chinese Medical Association Hypertension Professional Committee.

机构信息

Department of Cardiology, Peking University People's Hospital, Beijing, China.

Department of Cardiology, First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, China.

出版信息

J Clin Hypertens (Greenwich). 2019 Apr;21(4):446-450. doi: 10.1111/jch.13501. Epub 2019 Mar 3.

Abstract

The occurrence of hypertension is influenced by combined actions of genetic and environmental factors. Among environmental factors, high salt intake is considered as one of the most important and critical dietary factors. High salt intake is closely related to the incidence and mortality of cardiac and cerebrovascular events, as well as ventricular hypertrophy, renal damage, and other target organ damages. The existing data show that the daily sodium salt intake of Chinese population is significantly higher than that of European and American populations, and it generally exceeds the standard. Therefore, sodium and potassium intake in patients with hypertension should be actively assessed to carry out targeted treatment, which is an important strategy in blood pressure management. According to the characteristics of high prevalence of hypertension, high sodium salt intake, and low blood pressure control rate in China, Chinese Medical Association Hypertension Professional Committee believes that it is necessary to promote salt restriction and formulate the assessment of salt intake and clinical process of blood pressure management according to the current status of sodium intake.

摘要

高血压的发生受到遗传和环境因素的共同作用。在环境因素中,高盐摄入被认为是最重要和最关键的饮食因素之一。高盐摄入与心脑血管事件的发生和死亡率以及心室肥厚、肾脏损害和其他靶器官损害密切相关。现有数据表明,中国人群的每日钠盐摄入量明显高于欧美人群,且普遍超标。因此,应积极评估高血压患者的钠钾摄入量,开展针对性治疗,这是血压管理的重要策略。鉴于中国高血压患病率高、盐摄入量高、血压控制率低的特点,中国医师协会高血压专业委员会认为有必要推行限盐,并根据目前钠摄入量的状况制定盐摄入量评估和血压管理临床流程。

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