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通过对3335名3～14岁儿童的调查和分析,进一步阐明儿童血压随年龄增加而上升,建议以血压≥95th做血压偏高诊断标准。本调查儿童血压偏高率为4.86％,男女之间无显著差异。对血压偏高儿童应给予医学照顾和预防指导。通过对影响儿童血压因素的分析表明:身高、胸围、体重和BMI均影响儿童血压,特别是体重。因此对于超重儿童应重点做好成人原发性高血压的预防指导。血压≥95th、超重(BMI>90th)及高血压家族史可作为评价原发性高血压危险个体的客观指标。
Through the investigation and analysis of 3335 children aged 3 to 14 years, we further clarify that the blood pressure of children increases with age. It is suggested that the diagnosis standard of high blood pressure should be made with blood pressure≥95th. The high rate of blood pressure in this survey was 4.86%, no significant difference between men and women. High blood pressure in children should be given medical care and prevention guidance. Through the analysis of the factors affecting the blood pressure of children, height, chest circumference, body weight and BMI all affect the blood pressure of children, especially the body weight. Therefore, for overweight children should focus on prevention of adult essential hypertension guidance. Blood pressure ≥ 95th, overweight (BMI> 90th) and family history of hypertension can be used as an objective measure of individual risk of essential hypertension.