济南市小学生高血压及相关因素的流行病学研究  

Epidemiological study on children hypertension and risk factors in students of primary school of Jinan

作　　者：王凯[1] 商晓红[1] 郇庆东[1] 陈焕芝[1] 韩莹[1] 张文军[1] 孟庆秀[1] 

机构地区：[1]济南市中心医院儿科,山东济南250013

出　　处：《中国儿童保健杂志》2007年第6期605-607,共3页Chinese Journal of Child Health Care

基　　金：山东省科技厅自然科学基金资助项目(S28-2)

摘　　要：【目的】了解济南市小学生血压水平及高血压患病情况,探讨儿童原发性高血压的易患因素。【方法】采用整群随机抽样的方法,对济南市、郊区6～13岁小学生进行血压测量及问卷调查,通过逐步Logistic回归分析,观察与小学生高血压可能相关的危险因素。【结果】在调查的6 278名小学生中,男4 396人,女1 882人,收缩压平均水平为（97.77±11.25）mmHg,舒张压平均水平为（61.22±9.26）mmHg;其中高血压191例,患病率3.04%;城市儿童高血压患病率（3.17%）高于农村（2.76%）。血压水平与年龄、体重、身高都具有显著相关,与儿童高血压患病率呈正相关的因素有：皮脂厚度、儿童肥胖、母亲体质指数。【结论】小学生血压无论男女都表现随年龄增长而升高的趋势,高血压患病率与儿童肥胖呈正相关,儿童高血压与遗传因素有关。重视对小学生高血压的健康教育,控制和降低体重可减少高血压的发生。[Objective] To understand the epidemiologieal features of children＇s blood pressure and the risk factors of children＇s hypertension. [ Methods] Random cluster sampling was used and 6 278 6 - 13 years old students of primary school were measured for blood pressure. The related risk factors were investigated with the uniform questionnaire. [Resuits] The prevalence of hypertension in Jinan children was 3.04%. Urban children had a higher prevalence （3.17%）than rural children（2.76% ）. No matter of systolic blood pressure （SBP） or diastolic blood pressure （DBP） were both increased with age. There was a difference between girls and boys. Blood pressure of children were highly correlated with weight. The risk factors of hypertension in children were sebaceous thickness and obesity, and materal body index. The children＇ hypertension was correlated with genetic information. [Conclusions] It is demonstrated that there is an urgent need to carry out prevention and control for hypertension of children. Blood pressure can be descended by lower weight.

关 键 词：原发性高血压 儿童 相关因素 流行病学 

分 类 号：R722[医药卫生—儿科]