Abstract: Objective To investigate and analyze the current epidemiology of sodium intake in patients with hypertension in China from 2017 to 2019. Methods The survey was performed in 130 hospitals of 23 provinces or cities. A total of 9 686 hypertensive patients, aged from 18 to 85 years old, were enrolled in this study. 24 h urinary sodium was measured by electrode method. At the same time, medical history, body mass index（BMI） and medication history（including anti-hypertensive drugs） were all recorded. At the mean time, 24 h ambulatory blood pressure measurement（ABPM） was performed on 6 494 patients with hypertension. Results Mean 24 h urinary sodium excretion in all patients was 156.8 mmol/d（equivalent to sodium intake 3.6 g/d, sodium chloride 9.2 g/d）, 7 103 patients of whom（73%） consumed over 6 g/d. According to WHO standard, only 1 840 patients（19%） had salt intake less than 5 g/d. Patients were divided into three groups according to urinary sodium excretion: low, medium and high urinary sodium（urinary sodium excretion were ＜100, 100-＜200 and ≥200 mmol/d）, with mean urinary sodium excretion of（69.7±21.0）,（145.8±28.0） and（268.7±58.9）mmol/d respectively. Participants in Northwest had the highest urinary sodium excretion with 184.2 mmol/d（equivalent to salt intake 10.8 g/d） while those in the South had the lowest sodium excretion with 111.3 mmol/d（equivalent to salt intake 6.5 g/d）. Blood pressure increased with the increase of sodium intake. Conclusions The mean salt intake of hypertensive patients in 23 provinces or cities of China are much higher than the standard of China and WHO. It is important to correct high sodium intake in the management of hypertension.