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糖尿病患儿的血压

Blood pressure in children with diabetes mellitus.

作者信息

Kaas Ibsen K, Rotne H, Hougaard P

出版信息

Acta Paediatr Scand. 1983 Mar;72(2):191-6. doi: 10.1111/j.1651-2227.1983.tb09695.x.

DOI:10.1111/j.1651-2227.1983.tb09695.x
PMID:6340413
Abstract

Blood pressure measurements were evaluated in 151 children aged 2-19 years old with insulin-dependent diabetes mellitus (DM) of a duration of few months to 15 1/2 years. Compared with a reference group, the diabetic children had lower diastolic blood pressure (DBP) shortly after start of DM. There was no difference for the systolic blood pressure (SBP). After duration of diabetes of 5 years there were no significant differences in SBP and only significantly lower DBP in girls (median difference 5 mmHg, p less than 0.01), while the difference in boys is insignificant (median difference 2 mmHg, p = 0.32). In a model describing the intraindividual variation in blood pressure and its dependence on age, weight and height it was found that age was insignificant when weight and height were included. For DBP height was also insignificant when weight was included. For the 9 children with retinal microaneurysms the average SBP was significantly higher than expected for diabetic children of that weight and height.

摘要

对151名年龄在2至19岁之间的胰岛素依赖型糖尿病(DM)患儿进行了血压测量,这些患儿的糖尿病病程从几个月到15年半不等。与参照组相比,糖尿病患儿在糖尿病开始后不久舒张压(DBP)较低。收缩压(SBP)没有差异。糖尿病病程达5年后,SBP没有显著差异,仅女孩的DBP显著较低(中位数差异5 mmHg,p小于0.01),而男孩的差异不显著(中位数差异2 mmHg,p = 0.32)。在一个描述个体血压变化及其对年龄、体重和身高依赖性的模型中发现,当纳入体重和身高时年龄无显著意义。当纳入体重时,对于DBP身高也无显著意义。对于9名患有视网膜微动脉瘤的患儿,其平均SBP显著高于该体重和身高的糖尿病患儿预期值。

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引用本文的文献

1
Blood pressure in children, adolescents and young adults with type 1 (insulin-dependent) diabetes.1型(胰岛素依赖型)糖尿病儿童、青少年及青年的血压
Diabetologia. 1986 May;29(5):275-81. doi: 10.1007/BF00452062.
2
Early markers of the renal complications of insulin dependent diabetes mellitus.胰岛素依赖型糖尿病肾脏并发症的早期标志物。
Arch Dis Child. 1989 Jul;64(7):984-91. doi: 10.1136/adc.64.7.984.
3
Erythrocyte sodium-lithium countertransport and blood pressure in identical twin pairs discordant for insulin dependent diabetes.
同卵双胞胎中胰岛素依赖型糖尿病不一致者的红细胞钠锂逆向转运与血压
BMJ. 1992 Jul 25;305(6847):215-9. doi: 10.1136/bmj.305.6847.215.