3～6岁儿童高血压评定标准的探讨

The investigation of diagnosis standard of hypertension in the 3～6 year-old children

目的 :探讨儿童高血压的诊断标准 ,为预防儿童高血压提供科学依据。方法 :采取多点典型抽样法(典型抽样与分层抽样相结合 )对云南建水县不同类型幼儿园和散居 3～ 6岁儿童进行体格检查 ,运用台式水银柱式血压表测量儿童血压以及问卷调查 ,对比目前常用的 4种儿童高血压判定标准的差异。结果 :共调查 3～ 6岁儿童 1185人 ,分别采用血压 (BP)≥ 110 /70mmHg(1mmHg =0 .133kPa)或≥ 12 0 /80mmHg、BP大于等于年龄性别组的第 95 %的百分位数以及BP大于等于年龄性别组 x+2s标准判定儿童高血压 ,其发生率分别为 10 .0 %、5 .8%、7.4 %及 5 .4 %。结论 :以BP≥ 12 0 /80mmHg、≥ x±

Objective:To inquire into the diagnosis standard of the children hypertension and provide scientifically evidence for prevention children hypertension.Methods:Using multistage sample typical survey to the children lived scattered or in different type kindergarten, which the children measured blood pressure and asked the schedule of survey. Then we compared the difference with four diagnose standard of children hypertension in common use at present.Results:1185's children are investigated in all, to determine the children blood pressure with BP≥110/70 mm Hg, BP≥120/80 mmHg, BP≥95 th and BP≥+2s, as a result children hypertension prevalence rate is respectively 10.0 %, 5.8 %, 7.4 % and 5.4 %.Conclusion:It is reasonable that use for BP≥120/80 mmHg and BP≥+2s should be used for children hypertension diagnosis standard.