首都医科大学学报 ›› 2011, Vol. 32 ›› Issue (5): 617-625.doi: 10.3969/j.issn.1006-7795.2011.05.007

• 心血管疾病及其危险因素 • 上一篇    下一篇

正确认识高盐和高血压

华琦, 任海荣   

  1. 首都医科大学宣武医院心脏科,北京 100053
  • 收稿日期:2011-07-22 修回日期:1900-01-01 出版日期:2011-10-21 发布日期:2011-10-21
  • 通讯作者: 华 琦

High salt and hypertension

HUA Qi, REN Hai-rong   

  1. Department of Cardiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2011-07-22 Revised:1900-01-01 Online:2011-10-21 Published:2011-10-21

摘要: 盐和高血压的发生、发展有着密切联系。盐敏感性高血压是高血压的重要类型之一,即服用高盐后血压会随之增高,是我国部分地区高血压发病率明显增高的重要原因。高盐使血压升高的机制是由于部分人群细胞膜离子转运缺陷和肾脏排泄钠功能异常,在高盐环境下发生钠盐代谢异常,出现多种病理生理改变并引发高血压的发生。肾脏和中枢神经系统是和盐敏感性有密切关系的2个主要器官和系统。遗传、离子转运、内皮功能障碍、肾脏、交感神经和中枢神经系统机制、肾素-血管紧张素-醛固酮系统(renin-angiotensin-aldosterone system,RAAS)、内分泌机制、胰岛素抵抗等都参与了发病过程。改变饮食习惯配合降压药物治疗可以改善盐敏感性高血压患者的预后。本文对盐敏感性高血压的病因、流行病学、诊断和治疗进行综述。

关键词: 盐, 高血压, 盐敏感性高血压

Abstract: Salt is related to occurrence and development of hypertension. As an important type of essential hypertension, salt-sensitive hypertension, which means blood pressure rises with more salt intake, is main cause of high incidence rate in many regions in China. The major mechanism is abnormality in both ion transport in cell membrane and sodium excretion in the kidney. Kidney and central nervous system are key systems to induce salt-sensitive hypertension. The pathogenesis includes heredity, ion transport, endothelial dysfunction, kidney, sympathetic and central nervous system, renin-angiotensin-aldosterone system(RAAS), endocrine, insulin resistance and so on. The prognosis of salt-sensitive hypertension may be improved by either changing food habits or pharmacotherapy. This review focuses on salt-sensitive hypertension's cause, epidemiology, diagnosis and treatment.

Key words: salt, hypertension, salt-sensitive hypertension

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