Egger M, Bianchetti M G, Gnädinger M, Kobelt R, Oetliker O
Division of Pediatric Nephrology, University Children's Hospital, Berne, Switzerland.
Arch Dis Child. 1987 Nov;62(11):1130-5. doi: 10.1136/adc.62.11.1130.
Blood pressure and heart rate were measured every 30 minutes during the day and every hour during the night in 43 children (20 girls and 23 boys, aged 10 to 16) with a portable automated monitor. The apparatus was better accepted in girls than in boys, and the failure rate was lower during the day. The overall failure rate was 22%, which corresponds with comparable studies in adults. During the night blood pressure and heart rate fell by 10% and 14% of the daytime values, respectively. Mean (SD) blood pressure was significantly higher in boys than in girls (126/72 (17/8) v 109/64 (9/5) mm Hg) and measurements correlated positively with age, body weight, and height of the subjects. Heart rate was not significantly influenced by gender or age. A positive correlation between heart rate and blood pressure was found when expressed as standard normal deviations or hourly variations. In children intermittent monitoring of ambulatory blood pressure and heart rate is a suitable method for measuring individual diurnal patterns.
采用便携式自动监测仪，对43名儿童（20名女孩和23名男孩，年龄10至16岁）进行了日间每30分钟、夜间每小时一次的血压和心率测量。该仪器在女孩中的接受度高于男孩，且日间故障率较低。总体故障率为22%，这与成人的类似研究结果相符。夜间血压和心率分别下降至日间值的10%和14%。男孩的平均（标准差）血压显著高于女孩（126/72（17/8）与109/64（9/5）毫米汞柱），测量值与受试者的年龄、体重和身高呈正相关。心率不受性别或年龄的显著影响。以标准正态偏差或每小时变化表示时，心率与血压呈正相关。对于儿童，间歇性动态血压和心率监测是测量个体昼夜模式的合适方法。
