不同限盐模式在社区老年高血压管理中的效果评价

摘要

Objective:To evaluate the effects of different salt limited modes on the satisfaction,compliance and blood pressure control in elderly hypertensive management.Methods:400 elderly patients with hypertension joined in voluntary participation in the salt intervention were selected.They were randomly divided into the ladder type salt limited group with 202 cases and the uniform salt limited group with 198 cases.Through the process control of half a year,the survey was conducted once a month after the intervention,blood pressure was measured 2 times a week,salt threshold and 24 h urinary sodium content were determined before and after salt intervention.Results:After the salt intervention,the two groups had a significant decrease in systolic blood pressure,diastolic blood pressure,salt threshold,24 h urine sodium amount and the average daily intake of salt(P<0.05).The compliance of the step type salt limited group was better than that of the unified salt limited group(P<0.05).Conclusion:Based on the salt threshold,the step-limited salt is a feasible,effective and high compliance salt model.%目的：评价在社区老年高血压管理中不同的限盐模式对饮食满意度、依从性及血压控制的效果。方法：选取自愿参加限盐干预的老年高血压患者400例，随机分为阶梯式限盐组202例和统一性限盐组198例，通过半年的过程控制，限盐干预开始后每个月问卷调查1次，每周测血压2次，限盐干预前及结束后分别测定盐阈和24 h 尿钠量。结果：限盐干预结束后，两组收缩压、舒张压、盐阈、24 h尿钠量及平均每日摄盐量均显著下降(P＜0.05)；阶梯式限盐组的依从性始终优于统一式限盐组(P＜0.05)。结论：以盐阈为基础的阶梯式限盐是一种可行性强、效果显著、依从性较高限盐模式。