Gupta A K, Ahmad A J
Department of Pediatrics, JN Medical College, Aligarh Muslim University, Aligarh, UP.
Indian Pediatr. 1990 Jan;27(1):33-42.
A total of 3,861 school children in the age group 5-15 years were examined to establish the normative values for auscultatory blood pressure and to study the prevalence of sustained elevation of blood pressure in Indian children. Age-sex specific norms of systolic and diastolic blood pressure in the right upper limb were worked out. When the influence of age was minimised, the systolic and diastolic pressure still showed a positive correlation with height and weight. Two hundred and fifty five (6.60%) of the children screened were detected to have blood pressure level in excess of +2 SD of the mean for age and sex on first contact. The number declined to only 16 (0.41%) on re-evaluation 2 months after the initial contact. These 16 children continued to remain hypertensive during monthly follow up for 5 months. Family history of obesity, hypertension, or myocardial-infarction and/or stroke was met with in significantly higher (p less than 0.001) number of children with sustained hypertension as compared to normotensive students.
对3861名5至15岁的在校儿童进行了检查，以确定听诊血压的标准值，并研究印度儿童血压持续升高的患病率。制定了右上肢收缩压和舒张压的年龄性别特异性标准。当年龄的影响被最小化时，收缩压和舒张压仍与身高和体重呈正相关。在初次检查时，筛查出的255名（6.60%）儿童血压水平超过年龄和性别的均值加2个标准差。在初次接触2个月后的重新评估中，这一数字降至仅16名（0.41%）。在为期5个月的每月随访中，这16名儿童血压持续处于高血压水平。与血压正常的学生相比，持续性高血压儿童中肥胖、高血压或心肌梗死和/或中风家族史的比例显著更高（p<0.001）。
