Grossman D G
Florida International University, School of Nursing, North Miami.
Nurs Res. 1991 Jan-Feb;40(1):28-34.
The purpose of this study was to describe the characteristics of blood pressure rhythms in school-age children and to compare the circadian mesors and amplitudes between children of normotensive parents and children of hypertensive parents. The sample consisted of 40 healthy children between 8 and 10 years old; 20 children had a parental history of hypertension and 20 did not. Blood pressure was measured every 2 hours during the day and every 90 minutes during the night for one 24-hour cycle using a Dinamap monitor equipped with an automatic printer. Cosinor analyses revealed statistically significant circadian rhythms for systolic and diastolic blood pressures in 12 of the 40 subjects. The acrophases for systolic and diastolic pressures occurred between 1200-1800 hours. The mean systolic mesor was 108.50 while the mean diastolic mesor was 61.41. The mean amplitudes were 8.85 for systolic pressure and 7.44 for diastolic pressure. No statistically significant differences in circadian mesors and amplitudes between children of normotensive parents and children of hypertensive parents were found.
本研究的目的是描述学龄儿童血压节律的特征,并比较血压正常父母的子女与高血压父母的子女之间的昼夜中值和波动幅度。样本包括40名8至10岁的健康儿童;20名儿童的父母有高血压病史,20名没有。使用配备自动打印机的Dinamap监测仪,在一个24小时周期内,白天每2小时测量一次血压,夜间每90分钟测量一次。余弦分析显示,40名受试者中有12名的收缩压和舒张压存在统计学上显著的昼夜节律。收缩压和舒张压的峰值相位出现在12:00至18:00之间。收缩压的平均中值为108.50,舒张压的平均中值为61.41。收缩压的平均波动幅度为8.85,舒张压的平均波动幅度为7.44。血压正常父母的子女与高血压父母的子女之间的昼夜中值和波动幅度没有统计学上的显著差异。