Pediatrics. 1987 Jan;79(1):1-25.
Although the prevalence of clinical hypertension is of a far lesser magnitude in children than adults, there is ample evidence to support the concept that the roots of essential hypertension extend back into childhood. Prospective cohort data that could yield precise information about the relationship between childhood BP and cardiovascular risk are not yet available. Nonetheless, high BP in children represents a significant clinical problem which in 1977 was comprehensively addressed by the Task Force on Blood Pressure Control in Children. Contained herein, 10 years later, is the revised version of the original Task Force report including normative BP data derived from sampling more than 70,000 children, as well as advice on methodology and instrumentation for BP measurement, guidelines for detecting children with high BP, and strategies for appropriate diagnostic evaluation and pharmacologic and nonpharmacologic treatment.
尽管儿童临床高血压的患病率远低于成人,但有充分证据支持原发性高血压的根源可追溯到儿童期这一观点。目前尚无前瞻性队列数据能提供有关儿童血压与心血管风险之间关系的精确信息。尽管如此,儿童高血压仍是一个重大临床问题,1977年儿童血压控制特别工作组对此进行了全面探讨。本文包含的是该特别工作组原始报告的修订版,其中包括从70,000多名儿童抽样得出的正常血压数据,以及有关血压测量方法和仪器的建议、检测高血压儿童的指南,以及适当诊断评估和药物及非药物治疗的策略。