摘要
为研究儿童血压发育规律及其影响因素,对6、9、12岁3个年龄组的健康儿童1164名进行了连续8年的血压纵向研究,总复查率为89.4%。初查与后7年复查血压相关系数,收缩压(除1989年外)为0.470~0.623,舒张压为0.293~0.451。初查血压高百分位者(P81~99)第8年时仍保持原相应百分位者占32.1%,表明儿童血压存在轨迹现象。连续2年及3年高血压发生率为3.8%和1.4%,复查血压上升组的体重、身高、皮脂厚度及体重指数明显高于下降组。多元回归分析表明血压与体重关系明显。高血压家族史阳性的儿童血压高于阴性组,提示体重及遗传因素为影响儿童血压变异的重要因素。
Tofindoutthedevelopmentalregularityofbloodpressureinchildrenandtodeter-minetheinfluentialfactorsonitweexamined1164childrenin3agegroups:groupsof6,9,and12yearsofageyearlyoverperiodof8years(1987~1994)inBeijing.Asignificantcorrelationbetweensuccessivebloodpressuremeasurementswasfoundafteryearlyfolow-upforsystolicbloodpressure,withtrackingcoeficientsof0.470to0.623.Fordiastolicbloodpressurethecoeficientswere0.293to0.451.Thirtytwopercentofthechildrenwithsystolicbloodpressureabove81thpercentilesintheinitialexaminationmaintainedtheirbloodpressureatthesamelevelafter7years.Morbiditiesofbloodpressureabove95thpercentileinsuccessive2and3yearswere3.8%and1.4%ofalsubjectsstudiedrespectively.Asignificantcorrelationbetweenbodyweightandbloodpressurelevelswasnotedandthechildrenwithapositivefamilyhistoryofhypertensionhadhigherbloodpressurethanthosewithanegativefamilyhistoryofhypertension.Thus,bothbodyweightandgeneticfactorsap-peartobeimportanttoinfluencebloodpressurelevels.
出处
《中华儿科杂志》
CAS
CSCD
北大核心
1996年第5期339-342,共4页
Chinese Journal of Pediatrics
基金
国家"‘七五’"和‘八五’攻关项目