富含的盐替代品:对临床管理指南中的建议进行审查
Xiaoyue Xu1,2, Ling Zeng1, Vivekanand Jha3,4,5
1School of Population Health (X.X., L.Z., A.E.S.), University of New South Wales Sydney, Kensington, Australia.
富含的盐替代品有效降低血压和心血管风险. 然而,临床指南不一致地建议这些有益的盐替代品用于高血压管理.
科学领域:
- 心血管医学 心血管医学
- 腎臟病學 (nephrology) 是一種醫學.
- 营养科学 营养科学
背景情况:
- 高和低摄入量是高血压的关键风险因素.
- 对于高血压的饮食改变通常很难维持.
- 富含的盐替代品为控制血压提供了一个实用的解决方案.
研究的目的:
- 评估将盐替代品的证据纳入临床指南中的情况.
- 确定高血压和慢性病管理建议中的不一致性.
主要方法:
- 系统地搜索高血压和病的临床指南.
- 审查了32个高血压和14个病指南的盐替代品建议.
主要成果:
- 对盐替代品的建议被发现是不完整的,并且在审查的指南中不一致.
- 在如何解决盐替代品的益处和危害方面存在显著的差异.
结论:
- 临床指南需要更新,以提供一致的建议,以使用丰富盐替代剂治疗高血压.
- 对大多数高血压患者建议强烈推富含盐 (75%NaCl,25%KCl),不包括那些患有晚期病等禁忌的患者.
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