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目的分析观察高血压患者实施低盐饮食联合降压药的治疗效果。方法选择2013年10月-2015年10月南开区学府街社区卫生服务中心收治的高血压患者132例,采用随机数字表法分为观察组和对照组,两组均采用相同的降压药治疗,在此基础上对照组采用正常饮食,观察组采用低盐饮食,比较两组降压效果。结果对照组治疗前收缩压(163.13±8.22)mmHg,舒张压(108.66±9.24)mmHg,治疗后收缩压(140.02±5.33)mmHg,舒张压(96.75±3.25)mmHg,观察组治疗前收缩压(164.16±8.08)mmHg,舒张压(108.74±9.03)mmHg,治疗后收缩压(116.19±2.06)mmHg,舒张压(80.06±2.26)mmHg,差异均有统计学意义(P<0.05)。对照组治疗前尿钠值(141.96±42.01)mmol/L,观察组治疗前尿钠值(140.32±42.33)mmol/L,两组在治疗前差异无统计学意义(P>0.05),治疗后尿钠值对照组(138.66±40.35)mmol/L,观察组(99.33±31.96)mmol/L,差异均有统计学意义(P<0.05)。结论采用低盐饮食联合降压药治疗高血压降压效果明显,对预测靶器官损害和评价预后都有一定积极意义,值得临床推广。
Objective To analyze the therapeutic effect of low-salt diet combined with antihypertensive drugs in patients with hypertension. Methods From October 2013 to October 2015, 132 cases of hypertensive patients admitted to Xuefu Street Community Health Service Center in Nankai District were divided into observation group and control group by random number table, and the same antihypertensive drugs were used in both groups , On the basis of which the control group adopted normal diet, the observation group adopted the low-salt diet, and compared the antihypertensive effects of the two groups. Results Before treatment, systolic blood pressure (163.13 ± 8.22) mmHg, diastolic blood pressure (108.66 ± 9.24) mmHg, systolic blood pressure (140.02 ± 5.33) mmHg and diastolic blood pressure (96.75 ± 3.25) (164.16 ± 8.08) mmHg and diastolic pressure (108.74 ± 9.03) mmHg respectively. The systolic blood pressure (116.19 ± 2.06) mmHg and diastolic blood pressure (80.06 ± 2.26) mmHg after treatment were significantly different (P <0.05). Before treatment, the control group had a urinary sodium (141.96 ± 42.01) mmol / L before treatment and a pre-treatment natriuretic (140.32 ± 42.33) mmol / L in the observation group. There was no significant difference between the two groups before treatment (P> 0.05) Urinary sodium control group (138.66 ± 40.35) mmol / L, observation group (99.33 ± 31.96) mmol / L, the difference was statistically significant (P <0.05). Conclusion Low-salt diet combined with antihypertensive drugs is effective in treating hypertension and lowering blood pressure. It has some positive significance in predicting target organ damage and evaluating prognosis, which is worthy of clinical promotion.