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目的比较不限钠饮食与限钠饮食对肝硬化腹水患者尿量的影响。方法将102例肝硬化腹水患者随机分为两组:不限钠饮食组51例,饮食中不限钠。限钠饮食组51例,予低盐饮食。比较患者治疗前后血钠、尿钠、尿量。结果治疗后2周不限钠饮食组24 h平均尿量(2537.16±408.35)ml,显著高于限钠饮食组(1685.28±278.94)ml。结论肝硬化腹水患者在使用利尿剂同时不应限钠饮食,以防低血钠而影响利尿剂效果,影响腹水消退。
Objective To compare the effects of unlimited sodium diet and sodium restriction diet on urinary volume in cirrhotic patients with ascites. Methods A total of 102 cases of cirrhotic patients with ascites were randomly divided into two groups: 51 cases of sodium-free diet group and no limitation of sodium in diet. Limit sodium diet group of 51 cases, to low-salt diet. Before and after treatment of patients with serum sodium, urine sodium, urine output. Results After 24 weeks of treatment, the mean urine output of 24 h (2537.16 ± 408.35) ml in the sodium-free diet group was significantly higher than that in the sodium-limited diet group (1685.28 ± 278.94) ml. Conclusions Patients with cirrhosis and ascites should not limit sodium diet while using diuretics, in order to prevent hyponatremia and affect diuretic effect, and affect the regression of ascites.