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儿童示波血压标准。

Oscillometric blood pressure standards for children.

作者信息

Park M K, Menard S W, Schoolfield J

机构信息

Department of Cardiology, Department of Pediatrics, Driscoll Children's Hospital, Corpus Christi, TX, USA.

出版信息

Pediatr Cardiol. 2005 Sep-Oct;26(5):601-7. doi: 10.1007/s00246-004-0828-9.

Abstract

We previously reported blood pressure (BP) readings obtained by the Dinamap (DIN) (Model 8100) were 10 mmHg higher than those obtained by auscultatory methods and thus were not interchangeable. DIN BP data on 7208 schoolchildren ages 5 to 17 were analyzed to generate normative DIN BP standards and to examine the rational for presenting BP standards according to age and height percentiles. Three BP measurements were taken in the sitting position using a BP cuff width 40% to 50% of the circumference of the arm. Boys' systolic pressures (SP) were significantly (p < 0.05) greater (up to 11 mmHg) than those of the girls in subjects age 13 to 17 years. SP levels were most closely correlated with weight (r = 0.595), followed by height (r = 0.560) and age (r = 0.518). When BP levels were adjusted for age and weight, the correlation coefficient of DIN SP with height was negligible (r = 0.026 for boys; r = 0.085 for girls), whereas when adjusted for age and height, the correlation of SP with weight remained high (r = 0.303 for boys; r = 0.216 for girls), indicating that height is not an important independent predictor of BP levels. In conclusion, Dinamap-specific BP standards presented in this report are the only standards that have been generated according to the current BP guidelines recommended by national committees. We found no rational for presenting BP standards according to age and height percentiles.

摘要

我们之前报告过,Dinamap(DIN,型号8100)测得的血压读数比听诊法测得的血压读数高10 mmHg,因此两者不可互换。分析了7208名5至17岁学童的DIN血压数据,以生成DIN血压规范标准,并探讨根据年龄和身高百分位数呈现血压标准的合理性。使用宽度为手臂周长40%至50%的血压袖带,在坐位测量三次血压。在13至17岁的受试者中,男孩的收缩压(SP)显著高于女孩(p < 0.05)(高达11 mmHg)。SP水平与体重的相关性最高(r = 0.595),其次是身高(r = 0.560)和年龄(r = 0.518)。当对年龄和体重进行血压水平调整时,DIN收缩压与身高的相关系数可忽略不计(男孩r = 0.026;女孩r = 0.085),而当对年龄和身高进行调整时,收缩压与体重的相关性仍然很高(男孩r = 0.303;女孩r = 0.216),这表明身高不是血压水平的重要独立预测因素。总之,本报告中呈现的特定于Dinamap的血压标准是根据国家委员会推荐的现行血压指南生成的唯一标准。我们没有发现根据年龄和身高百分位数呈现血压标准的合理性。

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