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限制钠摄入能降低血压吗?

Does sodium restriction lower blood pressure?

作者信息

Grobbee D E, Hofman A

出版信息

Br Med J (Clin Res Ed). 1986 Jul 5;293(6538):27-9. doi: 10.1136/bmj.293.6538.27.

DOI:10.1136/bmj.293.6538.27
PMID:3089393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1340776/
Abstract

Data from 13 randomised trials on the effect of sodium restriction on blood pressure were analysed. The hypotensive effect of sodium restriction was found to be small and restricted largely to systolic blood pressure, which fell by an average of 3.6 mm Hg (range 0.5-10.0 mm Hg). The reduction increased with age and in those with higher blood pressure. Sodium restriction therefore seems to be of limited use in those who are most eligible for non-pharmacological treatment of high blood pressure--namely, young patients with mild hypertension.

摘要

对13项关于钠限制对血压影响的随机试验数据进行了分析。发现钠限制的降压作用较小,且主要限于收缩压,收缩压平均下降3.6毫米汞柱(范围为0.5 - 10.0毫米汞柱)。这种降低随着年龄增长以及血压较高者而增加。因此,对于最适合高血压非药物治疗的人群——即轻度高血压的年轻患者,钠限制似乎用处有限。

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Does sodium restriction lower blood pressure?限制钠摄入能降低血压吗?
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本文引用的文献

1
The diet and hypertension; a review.饮食与高血压;综述
Medicine (Baltimore). 1950 Feb;29(1):29-69. doi: 10.1097/00005792-195002000-00002.
2
Divergent blood pressure responses during short-term sodium restriction in hypertension.高血压患者短期限钠期间血压反应的差异
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Blood pressure response to dietary sodium restriction in normotensive adults.血压正常的成年人对饮食中钠限制的血压反应。
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A randomized trial on the effect of decreased dietary sodium intake on blood pressure in adolescents.一项关于减少饮食中钠摄入量对青少年血压影响的随机试验。
J Hypertens. 1984 Aug;2(4):361-6.
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Beta blockade, diuretics, and salt restriction for the management of mild hypertension: a randomised double blind trial.β受体阻滞剂、利尿剂及限盐用于轻度高血压管理:一项随机双盲试验
Br Med J (Clin Res Ed). 1984 Aug 18;289(6442):406-9. doi: 10.1136/bmj.289.6442.406.
6
Dietary sodium restriction for mild hypertension in general practice.一般医疗实践中对轻度高血压患者的膳食钠限制
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7
Blood-pressure response to moderate sodium restriction and to potassium supplementation in mild essential hypertension.轻度原发性高血压患者对适度限钠及补钾的血压反应
Lancet. 1984 Apr 7;1(8380):757-61. doi: 10.1016/s0140-6736(84)91276-5.
8
Randomised controlled trial of a no-added-sodium diet for mild hypertension.无添加钠饮食治疗轻度高血压的随机对照试验。
Lancet. 1982 Aug 28;2(8296):455-8. doi: 10.1016/s0140-6736(82)90491-3.
9
Low sodium/high potassium diet for prevention of hypertension: probable mechanisms of action.低钠高钾饮食预防高血压:可能的作用机制。
Lancet. 1981 Oct 24;2(8252):895-900. doi: 10.1016/s0140-6736(81)91392-1.
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Moderate sodium restriction and diuretics in the treatment of hypertension.中度限钠及利尿剂治疗高血压
Am Heart J. 1973 Jan;85(1):22-34. doi: 10.1016/0002-8703(73)90522-x.