摘要
目的:观察无盐饮食联合低钠血液透析治疗顽固性高血压患者的效果。方法:选取53例血液透析并发顽固性高血压患者作为研究对象,均给予无盐饮食联合低钠血液透析,分析血液透析4个月后患者的血压、增加体重、血钠变化,以及生命质量和营养状况。结果:无盐饮食联合低钠透析1周后平均收缩压和平均舒张压均逐渐下降,2个月后趋于稳定;无盐饮食联合低钠透析开始后增加体重与血钠逐渐下降,2个月后趋于稳定;无盐饮食联合低钠透析1个月后,社会功能评分下降,2个月后升高,3个月后趋于稳定;生理机能评分逐渐升高,3个月后趋于稳定;无盐饮食联合低钠透析后进食量、胃肠道症状评分升高,1个月后进食量评分下降,2个月后趋于稳定,1个月后胃肠道症状评分降低,3个月后趋于稳定。结论:无盐饮食联合低钠透析对血液透析顽固性高血压患者有明显的降压作用,因饮食习惯改变在开始的1~2个月内对生命质量和营养状况个别领域有一定影响,但总体上生命质量有改善,营养状况稳定。
Objective:To observe effects of salt-free diet combined with low-sodium hemodialysis in treatment of patients with refractory hypertension.Methods:53 cases of hemodialysis patients were selected as the research objects.All patients were given salt-free diet combined with low-sodium hemodialysis.4 months after hemodialysis,the blood pressure levels,the weight gains,the blood sodium changes,the quality of life and the nutritional status comprehensive evaluation results were analyzed.Results:After 1 week of salt-free diet combined with low-sodium dialysis,the average systolic blood pressure and diastolic blood pressure gradually decreased,and stabilized 2 months later.After the salt-free diet combined with low-sodium dialysis started,the dry weight and the blood sodium level gradually decreased,and stabilized 2 months later.After salt-free diet combined with low-sodium dialysis started,the social function score decreased,increased 2 months later,and stabilized 3 months later;the physiological function score gradually increased,and stabilized 3 months later.After salt-free diet combined with low-sodium dialysis started,the food intake and the gastrointestinal symptoms score increased;the food intake score decreased 1 month later,and stabilized months later;the gastrointestinal symptoms score decreased 1 month later,and stabilized 3 months later.Conclusions:The salt-free diet combined with low-sodium dialysis can significantly reduce the blood pressure levels in the patients with refractory hypertension on hemodialysis.It has a certain influence on the quality of life and nutritional status 1-2 months after application of the salt-free diet combined with low-sodium dialysis,but overall the quality of life has improved and the nutritional status is stable.
作者
别昕
张益民
马祖等
BIE Xin;ZHANG Yimin;MA Zudeng(Humen Hospital of Traditional Chinese Medicine,Dongguan 523899 Guangdong,China;The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655 Guangdong,China;Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine,Shenzhen 518104 Guangdong,China)
出处
《中国民康医学》
2021年第19期15-18,共4页
Medical Journal of Chinese People’s Health
