文献类型：期刊文章

作　　者：米杰[1] 王天有[1] 孟玲慧[1] 朱广谨[2] 韩少梅[2] 钟燕[3] 刘功姝[4] 万艳萍[5] 熊丰[6] 时景璞[7] 严卫丽[8] 周丕明[9]

机构地区：[1]首都儿科研究所,北京100020 [2]中国医学科学院基础医学研究所,北京100730 [3]湖南省儿童医院,长沙410007 [4]天津市妇女儿童保健中心,天津300070 [5]上海交通大学医学院附属仁济医院,上海200127 [6]重庆医科大学附属儿童医院,重庆400014 [7]中国医科大学附属第一医院,沈阳110001 [8]新疆医科大学公共卫生学院,乌鲁木齐830011 [9]广东省珠海市人民医院,珠海519000

出　　处：《中国循证儿科杂志》

基　　金：北京市科技计划重点项目:H030930030130;北京市卫生系统高层次卫生技术领军人才资助项目:2009-1-08;首都医学发展科研基金:2007-1024;2001年度中央级科研院所科技基础性工作专项重点项目“人体生理常数数据库”(2001DEA30031);2002年度中央级科研院所社会公益研究专项重点项目“人体生理常数数据库”(2002DIA10018);上海市科学技术委员会科技攻关项目(064119518);重庆市卫生局课题(07-2-156);辽宁省自然基金(9780204);中国医科大学附属第一医院与瑞士巴塞尔大学国际协作课题;新疆乌鲁木齐市科学技术计划项目资助(Y043204);教育部新世纪人才支持项目(NCET2005);国家自然科学基金(NSFC30500419)

年　　份：2010

卷　　号：5

期　　号：1

起止页码：4-14

语　　种：中文

收录情况：CSCD、CSCD_E2011_2012、ZGKJHX、普通刊

摘　　要：Objective To develop a nationally acceptable blood pressure(BP)reference standards for the diagnosis and evaluation of hypertension in children and adolescents in China.Methods The current study was based on the data from eleven large-scale cross-sectional BP surveys in China's Mainland since 2001,the survey sites were representative of national geographical distribution including four municipalities(Beijing,Shanghai,Tianjin,Chongqing)and seven provinces(Hunan,Liaoning,Hebei,Zhejiang,Guangxi,Xinqiang and Guangdong).The surveys which met the following selection criteria were involved to form the reference population sample and pooled database:1)Subjects were Han nationality and their ages were from 3 to 18 years old;2)BP levels were measured by auscultation using standard sphygmomanometer and recorded as Korotkoff phase 1(SBP),Korotkoff phase 4(DBP-K4)and/or Korotkoff phase 5(DBP-K5);3)All surveyors were trained before investigations and standard quality control was implemented throughout the BP measuring process;4)Basic variables,except BPs,were at least included but not limited to age,sex,nationality,height and weight.Totally 112 227 subjects(56 912 males accounting for 50.7%)were enrolled in the reference population sample in this study.SPSS 13.0 software was used to do the descriptive statistical analysis.Centile curves for SBP,DBP-K4 and DBP-K5 were drawn by sex using LMS method.Z scores of Height and BMI were calculated based on the data from the Chinese National Survey on Constitution and Health(CNSCH)in schoolchildren in 2005 to evaluate the nutrition status and development level of the reference population.Results The reference population had an optimal representation of Chinese Han children and adolescents.The resulting curves provided specific cut off points based on age and sex for the diagnosis of high normal BP,hypertension and severe hypertension,respectively.Given the best approach for blood pressure measurement in children and adolescents remained controversial,especially on the choice of K4 or K5

关 键 词：收缩压 舒张压 参照标准  中国大陆  儿童青少年

分 类 号：R179]