蒋 伟, 牟建军, 廉秋芳, 刘富强, 王宝莉, 张 敏, 吴冠吉. 慢性盐负荷及补钾对健康成人血压变异性的影响[J]. 心脏杂志, 2012, 24(2): 197-199.
    引用本文: 蒋 伟, 牟建军, 廉秋芳, 刘富强, 王宝莉, 张 敏, 吴冠吉. 慢性盐负荷及补钾对健康成人血压变异性的影响[J]. 心脏杂志, 2012, 24(2): 197-199.
    Effects of chronic salt loading and potassium supplementation on blood pressure variability in healthy adults[J]. Chinese Heart Journal, 2012, 24(2): 197-199.
    Citation: Effects of chronic salt loading and potassium supplementation on blood pressure variability in healthy adults[J]. Chinese Heart Journal, 2012, 24(2): 197-199.

    慢性盐负荷及补钾对健康成人血压变异性的影响

    Effects of chronic salt loading and potassium supplementation on blood pressure variability in healthy adults

    • 摘要: 目的:探讨慢性盐负荷及补钾对健康成人血压和血压变异性的影响。方法:选取100例年龄在28~60岁的血压正常者参与为期3周的慢性盐负荷及补钾试验,包括基线调查3 d,低盐饮食、高盐饮食和高盐补钾饮食各7 d的研究。在基线调查和各干预阶段的第5,6,7天采用英国产随机零点血压计连续测量3 d血压。测量血压前受试者静坐休息5 min,测量3次,求平均值,并计算3 d血压测量值的标准差和变异系数,作为长时血压变异性指标。结果:受试者血压在低盐期较基线期显著下降[SBP:(112±11)mmHg vs.(117±14)mmHg;DBP:(74±8)mmHg vs.(76±10)mmHg,P<0.01];高盐期较低盐期明显升高[SBP:(119±14)mmHg vs.(112±11)mmHg;DBP:(77±9)mmHg vs.(74±8)mmHg,P<0.01];补钾期较高盐期显著降低[SBP:(114±12)mmHg vs.(119±14)mmHg;DBP:(75±8)mmHg vs.(77±9)mmHg,P<0.01]。限盐后收缩压标准差、舒张压标准差均降低[SDSBP:(3.9±1.5)mmHg vs.(4.3±1.0)mmHg;SDDBP:(3.2±1.4)mmHg vs.(3.6±1.6)mmHg,P<0.01];高盐期较低盐期升高[SDSBP:(4.4±1.6) vs.(3.9±1.5)mmHg;SDDBP:(3.7±1.2) vs.(3.2±1.4)mmHg,P<0.01]。结论:钠、钾摄入量与血压变化密切相关,其中低盐饮食后血压下降,高盐饮食后血压升高,而在高盐负荷基础上给予大剂量补钾使血压下降。高盐饮食可增大血压变异性,限盐可降低血压变异性。

       

      Abstract: AIM:To explore the effects of chronic salt loading and potassium supplementation on blood pressure variability in healthy adults. METHODS: One hundred normotensive subjects aged 28 to 60 years were enrolled and sequentially maintained on a protocol of a 3-day baseline investigation, a 7-day low-salt diet (3 g/day, NaCl), a 7-day high-salt diet (18 g/day), and a high-salt diet with potassium supplementation (4.5 g/day, KCl) for another 7 days. On the last 3 days of each period, blood pressure was measured. Day-to-day variability in systolic blood pressure (SBP) and diastolic blood pressure (DBP) was expressed as the standard deviation and coefficient of variation. RESULTS: Blood pressure decreased after salt restriction [SBP: (112±11) vs. (117±14) mmHg, P<0.01; DBP: (74±8) vs. (76±10)mmHg, P<0.01] and increased after salt loading [SBP: (119±14) vs.(112±11)mmHg, P<0.01; DBP: (77±9) vs. (74±8) mmHg, P<0.01]. At potassium supplementation stage, blood pressure decreased [SBP: (114±12) vs. (119±14) mmHg, P<0.01; DBP: (75±8) vs. (77±9) mmHg, P<0.01]. Compared with those during the baseline period, day-to-day variability of blood pressure decreased during the salt-restriction period [SBP: (3.9±1.5) vs. (4.3±1.0) mmHg, P<0.01; DBP: (3.2±1.4) vs. (3.6±1.6 mmHg), P<0.01] and increased after salt loading [SBP: (4.4±1.6) vs. (3.9±1.5) mmHg, P<0.05; DBP: (3.7±1.2) vs. (3.2±1.4) mmHg, P<0.05]. CONCLUSION: Dietary salt is associated with blood pressure. Blood pressure decreases after salt restriction but increases after salt loading. Potassium supplementation decreases blood pressure after salt loading. Low-salt diet lowers blood pressure variability and is an important factor for prevention of hypertension and target organ damage.

       

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