Rosner B, Prineas R J, Loggie J M, Daniels S R
Channing Laboratories, Harvard University, Boston, Massachusetts 02115.
J Pediatr. 1993 Dec;123(6):871-86. doi: 10.1016/s0022-3476(05)80382-8.
Because height is a more appropriate index of maturation than weight for use with normative blood pressure (BP) data, we developed normative BP levels for children, by sex, while accounting for age and height simultaneously. Eight U.S. studies used in the Report of the Second Task Force on Blood Pressure Control in Children and one additional study of BP in U.S. children were reanalyzed to develop age-sex-height-specific values for normative BP values among 56,108 children, aged 1 to 17 years, seen at 76,018 visits. Height percentiles were computed on the basis of standard National Center for Health Statistics growth charts. When height is taken into account, more short children (10th age-sex-specific height percentile) and fewer tall children (90th age-sex-specific height percentile) are likely to be classified as hypertensive than when the current age-sex-specific percentiles of BP alone are used. Tables are provided for boys and girls separately, by single year of age (1 to 17 years) and by the 90th and 95th percentiles of systolic blood pressure and diastolic blood pressure (fifth phase of Korotkoff sounds) for selected age-sex-specific height percentiles based on standard U.S. growth charts.
由于在使用血压（BP）标准数据方面，身高比体重是更合适的成熟指标，因此我们在同时考虑年龄和身高的情况下，按性别制定了儿童的血压标准水平。对《儿童血压控制第二次特别工作组报告》中使用的八项美国研究以及另一项关于美国儿童血压的研究进行了重新分析，以便为在76,018次就诊中见到的56,108名1至17岁儿童制定按年龄、性别、身高划分的血压标准值。身高百分位数是根据美国国家卫生统计中心的标准生长图表计算得出的。与仅使用当前按年龄和性别的血压百分位数相比，当考虑身高因素时，更多的矮个儿童（年龄和性别特定身高百分位数的第10百分位）和更少的高个儿童（年龄和性别特定身高百分位数的第90百分位）可能会被归类为高血压患者。分别为男孩和女孩提供了表格，表格按单一年龄（1至17岁）以及根据美国标准生长图表选定的年龄和性别特定身高百分位数的收缩压和舒张压（柯氏音第五期）的第90和第95百分位数列出。
