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长三角4935名在校学生中高血压诊断标准探讨
引用本文:陆丽萍,万燕萍,戴寅妍,徐仁应,方启宇. 长三角4935名在校学生中高血压诊断标准探讨[J]. 临床儿科杂志, 2011, 29(10). DOI: 10.3969/j.issn.1000-3606.2011.10.014
作者姓名:陆丽萍  万燕萍  戴寅妍  徐仁应  方启宇
作者单位:1. 上海交通大学医学院附属仁济医院,上海,200127
2. 上海交通大学医学院,上海,200025
基金项目:上海市科学技术委员会科研计划项目(No.08dj1400602、No.064119518)
摘    要:目的了解长三角地区儿童青少年血压水平及高血压检出率,探讨适用于该地区儿童青少年的高血压诊断标准。方法测量长三角地区6~18岁在校学生的身高和血压,采用3种高血压诊断标准统计检出率。结果共计4 935名儿童纳入本研究。男2 542名,女2 393名。血压随着儿童青少年年龄的增长而逐渐升高;男女生收缩压(SBP)分别为(109±14)mmHg、(105±12)mmHg,差异有统计学意义;男女生舒张压(DBP)分别为(65±9)mmHg、(64±9)mmHg,差异有统计学意义。高血压分别以3种标准统计,检出率分别为17.9%、12.6%、11.3%,差异有统计学意义,且标准一与标准二、标准一与标准三、标准二与标准三之间,诊断效度一致性Kappa值分别为0.73、0.78、0.90。结论男生SBP和DBP均显著高于女生。美国高血压教育项目(NHBPEP)第4次报告中儿童身高P50水平同年龄性别组血压P95水平较适合长三角地区儿童。

关 键 词:高血压  诊断标准  在校学生  

The comparison of diagnostic criteria for hypertension in 4 935 school children in Yangtze River Delta region
LU Li-ping,WAN Yan-ping,DAI Yin-yan,XU Ren-ying,FANG Qi-yu. The comparison of diagnostic criteria for hypertension in 4 935 school children in Yangtze River Delta region[J]. The Journal of Clinical Pediatrics, 2011, 29(10). DOI: 10.3969/j.issn.1000-3606.2011.10.014
Authors:LU Li-ping  WAN Yan-ping  DAI Yin-yan  XU Ren-ying  FANG Qi-yu
Affiliation:LU Li-ping1,WAN Yan-ping1,DAI Yin-yan2,XU Ren-ying1,FANG Qi-yu1(1.Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China,2.Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)
Abstract:Objective To investigate the blood pressure levels in school children in Yangze River Delta region,and to explore the appropriate diagnostic criteria for hypertension in this region.Methods School children aged from 6 to 18 years in Jiangsu,Zhejiang and Shanghai were recruited.Height and blood pressure were measured.Three diagnostic criteria were applied to detect the prevalence of hypertension.Results A total of 4 935 school children were included in this study,2 542 boys and 2 393 girls.The average systol...
Keywords:hypertension  diagnostic criteria  school children  
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