[钠和动脉高血压——百年争论]。

J M Krzesinski
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引用次数: 0

摘要

氯化钠(盐)在高血压(25%的正常人群被称为钠敏感人群,50%的高血压患者在使用低盐饮食时血压会显着下降)或心血管并发症的发生和维持中发挥作用,但也在其他疾病(肥胖、骨质疏松症、肾结石、癌症等)中发挥作用。盐平衡的调节是由肾脏起作用的,肾脏的功能可能受到遗传(更少)或继发性获得(最常见)的干扰。现在建议限制食盐摄入量(最多5-6克/天),同时增加钾的摄入量。这可以更容易地降低血压,特别是对顽固性高血压。建议大家,即使血压正常,也可以有利于降低血压随年龄增长而升高的趋势,而且还可以减轻心血管并发症的负担,促进全身健康。为了实现这些目标,减少盐的消费需要积极主动和受过良好教育的人,在食品上标明含盐量,并得到食品工业的适当帮助。
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[Sodium and arterial hypertension --one hundred years of controversies].

Sodium chloride (salt) plays a role in the development and maintenance of high blood pressure (25% of the normotensive population are called sodium sensitive and 50% of the hypertensive people would present a significative decrease either of their blood pressure when low salt diet is applied) or of cardiovascular complications, but also of other diseases (obesity, osteoporosis, kidney stones, cancer,...) The regulation of salt balance is played by the kidneys, the function of which can be genetically (more rarely) or secondarily acquired (most often) disturbed. Salt restriction (maximum 5-6 g/d) with higher potassium intake, is now recommended. This can easier allow the lowering of the blood pressure, especially in resistant forms of hypertension. Proposed to everybody, even normotensive, it could be beneficial reducing the trend of blood pressure increase with age, but also the burden of cardiovascular complications and promoting general health. For reaching these objectives, this reduction in salt consumption needs motivated and well educated people, well labelled food products about salt content and the apprppriate help of food industries.

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