儿科高血压的临床特征:在中国的一项多中心研究
Yijun Chen1,2, Peiyu Ye1, Hongbo Dong1
1Center for Noncommunicable Disease Management, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing.
Journal of hypertension
|August 21, 2023
概括
二次性高血压是中国最常见的儿科高血压类型,在过去十年中增加. 儿童初级高血压病例中,肥胖和相关疾病普遍存在.
科学领域:
- 儿科脏病学 儿科脏病学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 儿童高血压是一个日益关注的问题,其特征和趋势的临床数据有限.
- 了解这些趋势对于有效的公共卫生战略和临床管理至关重要.
研究的目的:
- 研究中国住院儿童儿科高血压的临床特征.
- 分析十年来该人口中不同类型的高血压的长期趋势.
主要方法:
- 对5847名被诊断患有高血压的儿科住院患者的医疗记录进行了回顾性分析.
- 从2010年至2020年期间,从中国的9家高等儿童医院收集的数据.
- 分析重点是从首次入院记录中的临床特征.
主要成果:
- 二次性高血压仍然是主要类型,从51.2% (2010-2015年) 增加到59.8% (2016-2020年).
- 神经系统疾病是较年轻儿童 (<3岁) 的首要原因,在较年长儿童中转移到脏疾病.
- 二次高血压在女孩和五岁以下的儿童中更为普遍. 超过85%的原发性高血压病例涉及肥胖和并发性疾病,这一趋势正在上升.
结论:
- 二次高血压在中国儿童,特别是女孩中越来越普遍,主要原因是脏疾病.
- 肥胖和相关的并发症是儿科初级高血压的重要因素,具有令人担忧的上升趋势.
- 这些发现凸显了针对性干预和进一步研究儿科高血压管理的需要.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
26
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
26
Hypertension I: Introduction
16
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
16
Attention-Deficit/Hyperactivity Disorder
131
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
131
Hypertension II: Pathophysiology
15
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
15
Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
Alterations in Blood Pressure
1.3K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.3K


