重庆市6-18岁儿童高血压现状分析  

An investigation of the prevalence situation of hypertension among children from6 to 18 years old in Chongqing

作　　者：张肖笑 熊丰[1] 朱岷[1] 罗雁红[1] 王付丽[1] 曾燕[1] 张亚妮 

机构地区：[1]重庆医科大学附属儿童医院内分泌科,重庆400016 [2]重庆市沙坪坝区中小学生保健所,400030

出　　处：《重庆医学》2016年第14期1951-1953,共3页Chongqing medicine

摘　　要：目的探究重庆市6-18岁儿童高血压流行病学情况及其与儿童超质量、肥胖的关系。方法采取整群抽样方式抽取重庆市6所普通中小学7 781名6-18岁在校儿童,行身高、体质量测量,计算BMI,并进行4个时点血压测量。结果儿童高血压总体患病率为6.0%,男性患病率6.7%,女性患病率5.3%,且随年龄增长呈增加趋势。超质量、肥胖儿童血压水平明显高于健康儿童血压水平,肥胖儿童血压水平亦高于超质量儿童,差异具有统计学意义（P〈0.05）。高血压儿童中肥胖检出率为25.8%、超质量检出率为20.2%;血压正常儿童中肥胖、超质量的检出率仅为7.3%、13.8%。结论重庆市6-18岁儿童高血压患病率较十年前明显升高,其中超质量、肥胖是儿童高血压发生的重要危险因素。Objective To investigate the epidemiology of hypertension and its relationship with overweight or obesity among children from 6to 18 years old in Chongqing.Methods A survey was conducted among 7 781 children aged from 6to 18 years old in Chongqing by cluster random sampling.The survey items included height,weight,body mass index,and measurement of blood pressure for 4times.Results The incidence of childhood hypertension in Chongqing was 6.0% at present.The rate for boys was6.7%,while the rate for girls was 5.3%.Further,the morbidity also increased as the children getting older.The BP level is significantly higher among children suffering overweight and obesity than those of the children with normal weight.Meanwhile,the situation of children with obesity was much more serious than the situation of overweight children,the gap was significant（P〈0.05）.The incidence of obesity and overweight were 25.8% and 20.2% among high blood pressure group,while they were only 7.3%,13.8% respectively in normal group.Conclusion Compared with the survey conducted ten years age,the morbidity of childhood hypertension has increased.Overweight and obesity might be the main cause of hypertension.

关 键 词：高血压 肥胖症 流行病学方法 儿童 统计学 重庆 人体质量指数 

分 类 号：R725.4[医药卫生—儿科]