Adrogué H E, Sinaiko A R
Department of Pediatrics, University of Minnesota Medical School, Minneapolis, USA.
Am J Hypertens. 2001 May;14(5 Pt 1):412-4. doi: 10.1016/s0895-7061(00)01277-2.
The 1996 "Update on the 1987 Task Force Report on Blood Pressure in Children and Adolescents" adopted the fifth Korotkoff phase to define diastolic blood pressure and added height, in addition to age and gender, to develop new standards for blood pressure (BP) in children. The present study was performed to determine whether these changes altered the previously reported prevalence of hypertension in junior high school-aged children. Blood pressure screening was conducted in 19,452 fifth to eighth grade students. All students with a systolic blood pressure more than the 70th percentile had their BP measured a second time (rescreening). Using the 1996 criteria, systolic hypertension was found in 2.7% and diastolic hypertension in 2% after the screening. After the rescreening, systolic hypertension had fallen to 0.8% and diastolic hypertension to 0.4%. The prevalence of systolic hypertension was slightly higher and diastolic hypertension slightly lower than in 1987. These reports show that the overall prevalence of hypertension (1%) using the 1996 Updated Task Force criteria is similar to the prevalence using the original 1987 criteria. These results also confirm the importance of the Task Force recommendation that multiple BP measurements should be obtained before making a diagnosis of hypertension.
1996年的《1987年儿童和青少年血压问题特别工作组报告更新》采用了柯氏音第5期来定义舒张压，并除年龄和性别外增加了身高因素，以制定儿童血压的新标准。本研究旨在确定这些变化是否改变了先前报道的初中年龄段儿童高血压的患病率。对19452名五至八年级学生进行了血压筛查。所有收缩压高于第70百分位数的学生都再次测量了血压（重新筛查）。根据1996年标准，筛查后发现收缩期高血压患病率为2.7%，舒张期高血压患病率为2%。重新筛查后，收缩期高血压降至0.8%，舒张期高血压降至0.4%。收缩期高血压患病率略高于1987年，舒张期高血压患病率略低于1987年。这些报告表明，使用1996年更新的特别工作组标准的高血压总体患病率（1%）与使用1987年原始标准的患病率相似。这些结果也证实了特别工作组建议的重要性，即在诊断高血压之前应进行多次血压测量。
