Pediatr Ann. 2020 Apr 1;49(4):e155-e160. doi: 10.3928/19382359-20200320-01.
Hypertension is an important and often overlooked problem in the pediatric population. In 2017, the American Academy of Pediatrics updated their guidelines for the diagnosis and management of hypertension. The new guidelines include a refined definition of the blood pressure stages and also a new diagnostic reference table with updated data excluding those with overweight or obesity. It also simplified the diagnostic criteria for adolescents and provided a screening table for easier use in the clinical setting. Along with the simplified diagnostic criteria, the new guidelines stress the importance of accurate blood pressure measurements and the growing importance of ambulatory blood pressure monitoring. With these revised guidelines, the diagnosis and management of blood pressure in the pediatric population should be clearer and easier to implement in clinical practice. [Pediatr Ann. 2020;49(4):e155-e160.].
高血压是儿科人群中一个重要但经常被忽视的问题。2017 年,美国儿科学会更新了其高血压诊断和管理指南。新指南包括对血压分期的更精细定义,以及一个新的诊断参考表,其中的数据排除了超重或肥胖者。它还简化了青少年的诊断标准,并提供了一个筛查表,以便在临床环境中更方便地使用。除了简化的诊断标准,新指南还强调了准确测量血压的重要性以及动态血压监测的日益重要性。有了这些修订后的指南,儿科人群的血压诊断和管理应该更加清晰,在临床实践中更容易实施。[儿科学报。2020;49(4):e155-e160。]。