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学龄前儿童血压现况及相关影响因素的研究

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目的 分析学龄前儿童血压现况,并探讨其影响因素.方法 纳入上海市嘉定区2所幼儿园497例学龄前儿童,收集性别、年龄、身高及体质量等信息,规范测量3次坐位血压和心率,并分析尿常规相关指标.参照《2018版中国高血压指南》,血压水平分级根据第2、3次血压平均值为标准.采用SAS 9.4软件进行数据统计分析.结果 共入组学龄前儿童497例,平均年龄(4.5±0.8)岁,超重或肥胖儿童占26.96%;血压正常高值儿童7.44%,1级高血压儿童7.04%,2级高血压儿童0.4%;尿白蛋白肌酐比阳性1.2%.有序多因素logistic回归分析结果显示,超重和肥胖[比值比(odds ratio,OR)=3.13,95%置信区间(confidence interval,CI):1.56~6.31]、心率增快(OR=1.09,95%CI:1.06~1.11)是学龄前儿童高血压的影响因素(P<0.05).结论 超重和肥胖、心率增快是学龄前儿童高血压的危险因素,建议对学龄前儿童每年定期监测体质量指数、血压及心率,并根据相关情况对学龄前儿童进行分类健康管理.
A study of preschoolers'blood pressure status and related influencing factors
Objective To analyze the present situation of blood pressure of preschool children and discuss its influencing factors.Methods A total of 497 preschoolers from two kindergartens in Jiading District of Shanghai were included.Gender,age,height,weight and other information were collected,sitting blood pressure and heart rate were measured three times,and relevant indexes of urine routine were analyzed.With reference to the 2018 edition of China Hypertension Guidelines,the blood pressure level was graded according to the average value of the second and third blood pressure.SAS 9.4 software was used to analyze the data.Results A total of 497 preschool children were enrolled,with an average age of(4.5±0.8)years.26.96%of the children were overweight or obese.7.44%of the children with high normal blood pressure,7.04%of the children with grade 1 hypertension,0.4%of the children with grade 2 hypertension,1.2%of the children had a positive urinary albumin-to-creatinine ratio.Orderly multivariate logistic regression analysis showed that overweight and obesity[odds ratio(OR)=3.133,95%confidence interval(CI):1.56~6.31]and increased heart rate(OR=1.09,95%CI:1.06~1.1 1)were the influening factors of hypertension in preschool children(P<0.05).Conclusion Overweight,obesity and increased heart rate are risk factors for hypertension in preschool children.It is recommended to monitor body mass index,blood pressure and heart rate of preschool children regularly every year,and conduct classified health management according to relevant conditions.

preschool childrenblood pressureinfluencing factors

秦丽、翟佳燚、葛立宾

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上海市嘉定区嘉定镇街道社区卫生服务中心全科医学科,上海 201899

上海市嘉定区安亭镇黄渡社区卫生服务中心全科医学科,上海 201804

学龄前儿童 血压 影响因素

2019年上海市"医苑新星"青年人才培养资助计划2019年上海市嘉定区"嘉医新星"青年人才培养计划上海市嘉定区卫生健康委员会科研项目上海市嘉定区卫生健康委员会科研项目

沪卫人事202087号2019JDJYXX0072021-KY-172022-KY-21

2024

世界临床药物
上海医药工业研究院

世界临床药物

CSTPCD
影响因子:0.849
ISSN:1672-9188
年,卷(期):2024.45(7)