苏州儿童青少年血压偏高检出状况  

Prevalence of high blood pressure and pre-high blood pressure of children and adolescents in Suzhou

作　　者：徐双 田昌伟[1] 陈林[1] 王文明[1] 沈蕙[2] XU Shuang;TIAN Changwei;CHEN Lin;WANG Wenming;SHEN Hui(Kunshan Center For Disease Control and Prevention,Kunshan(215300),Jiangsu Province,China)

机构地区：[1]江苏省昆山市疾病预防控制中心学校卫生科,215300 [2]苏州市疾病预防控制中心

出　　处：《中国学校卫生》2018年第12期1838-1840,共3页Chinese Journal of School Health

摘　　要：目的描述苏州地区儿童和青少年血压偏高和血压偏高前期患病情况,为学校开展高血压有关健康教育提供参考。方法根据苏州市2017年学生体质健康状况调查,将年龄在6~17岁的儿童和青少年共714 977名纳入研究。结果儿童青少年收缩压和舒张压均值分别为108.25和69.57mmHg。血压偏高检出率为23.45%,且男生(26.30%)高于女生(20.11%),城市儿童青少年(25.31%)高于乡村群体(21.53%),超重和肥胖群体(33.10%)的检出率高于正常体重群体(19.90%),青少年(24.30%)的检出率高于儿童(23.24%)。血压偏高前期的检出率为19.12%,且男生(18.93%)的检出率低于女生(19.34%),超重和肥胖群体的检出率(22.37%)高于正常体重群体(17.92%),青少年的检出率(21.05%)高于儿童(18.63%),但城市和乡村群体的检出率差异无统计学意义。结论苏州市有很高比例的儿童青少年血压偏高,并且存在性别、年龄和城乡差异;超重和肥胖群体的检出率明显高于正常体重群体。Objective To describe the prevalence of pre-high blood pressure( PreHBP) and high blood pressure( HBP)among children and adolescents in Suzhou,and to provide a reference for conducting health education in the school. Methods In total,714 977 children and adolescents aged 6-17 years were included,according to the national surveys on Chinese students’ constitution and Health in 2017. Results The systolic and diastolic blood pressure were 108.25 and 69.57 mm Hg,respectively.And the prevalence of HBP was 23.45%,and it was significantly higher among male( 26.30%) than female( 20.11%),urban subjects( 25.31%) than rural subjects( 21.53%),overweight and obese subjects( 33.10%) than non-overweight subjects( 19.90%),and adolescents( 24.30%) than children( 23.24%). The prevalence of PreHBP was 19.12%,and it was significantly higher among female( 19.34%) than male( 18.93%),overweight and obese subjects( 22.37%) than non-overweight subjects( 17.92%),and adolescents( 21.05%) than children( 18.63%),while no significant difference was found between urban and rural subjects. Conclusion A large proportion of children and adolescents in Suzhou has elevated blood pressure and there are age,urban-rural and sex disparities in the prevalence of elevated blood pressure. Overweight and obese subjects have significant higher prevalence of elevated blood pressure than non-overweight subjects.

关 键 词：血压 高血压 检出率 学生 健康教育 

分 类 号：R544.1[医药卫生—心血管疾病] R193[医药卫生—内科学]