青少年24小时血压和认知结果 青少年极度早产和在期内出生
Chandelle L Piazza1,2, Lex W Doyle2,3,4,5, Leona Pascoe1,2
1School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria, Australia.
Acta paediatrica (Oslo, Norway : 1992)
|August 22, 2024
概括
高血压与年轻成年人的认知功能较差有关,不管他们是否出生于极早生还是满期生. 这种关联特别适用于一般智力和视觉记忆.
科学领域:
- 神经科学是一个神经科学.
- 发育儿科 发育儿科
- 心血管研究研究心血管研究
背景情况:
- 极度早产 (<28周怀孕) 存在神经发育结果的风险.
- 高血压是成年人认知能力下降的已知危险因素.
- 血压对极度早产个体认知的影响尚不清楚.
研究的目的:
- 为了研究血压和18岁的认知结果之间的关系.
- 为了比较这些协会在极度早产的个体与出生时的个体之间.
主要方法:
- 一项前性纵向队列研究,对136名极度早产和120名早产儿进行了研究.
- 分析24小时的门诊血压 (平均,静脉缩,腹缩高血压).
- 线性回归模型用于评估与认知结果的关联.
主要成果:
- 在这两组中,24小时平均循环血压升高和静脉压高与类似或更糟糕的认知结果有关.
- 在高血压和较差的一般智力,视觉学习和视觉记忆之间观察到最强烈的关联.
- 根据出生组,血压与认知关系没有显著差异.
结论:
- 较高的24小时平均门诊血压和缩性高血压与认知功能受损有关.
- 这些关联在极度早产和早产的个体中都很明显.
- 一般智力和视觉记忆似乎特别受到高血压的影响.
相关概念视频
01:28Factors affecting Blood pressure
3.1K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.1K
01:17Measurement of Blood Pressure
897
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
897
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
527
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
527
01:28Special considerations while measuring blood pressure
711
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
711
01:25Errors occurring during blood pressure monitoring
631
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
631
01:52Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K