乌干达东部分娩受阻的妇女生下的儿童血压升高:一项队列研究
David Mukunya1,2, Milton W Musaba3,4, Brendah Nambozo5
1Department of Community and Public Health, Busitema University, P.O. Box 1460, Mbale, Uganda.
血压升高在经过阻塞分娩后出生的儿童中很常见,在年长的儿童和女性中风险更高. 对于患有已知的危险因素的儿科患者,建议进行例行查.
科学领域:
- 儿科健康 儿科健康
- 心血管流行病学心血管流行病学
- 产科并发症 产科并发症
背景情况:
- 高血压是全球主要的死亡原因.
- 与高血压相关的死亡存在差异,特别是在黑人人口中.
- 围产期的侮辱,如出生窒息,可能会导致这些差异.
研究的目的:
- 为了确定患有高血压的儿童出生于受阻分娩的母亲的发生率.
- 在这个儿科队列中确定与血压升高相关的因素.
主要方法:
- 一个跟踪研究的孩子 (25-44个月) 出生的妇女受阻劳动.
- 血压升高定义为年龄,身高和性别的≥90百分位数.
- 后勤回归用于分析暴露与血压升高之间的关联.
主要成果:
- 血压升高的发生率为27.9%.
- 与年龄小于3岁的儿童相比,患高血压的几率是年轻儿童的两倍.
- 女性和儿童估计球过率降低的女性和儿童血压升高的几率明显更高.
结论:
- 在受阻分娩后的儿童中观察到高血压的高发病率.
- 建议对儿科患者进行常规血压监测,特别是那些具有已确定的风险因素的儿科患者.
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