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办公室用形手测量肥胖儿童和青少年的血压
Kleo Evripidou1, Julio Alvarez-Pitti2,3, Ana De Blas-Zapata2
11st Department of Pediatrics, Hippocratio General Hospital, Aristotle University Thessaloniki, Thessaloniki, Greece.
Blood pressure
|October 11, 2024
概括
在肥胖的儿童和青少年中,圆形血压袖口与标准圆柱形袖口没有表现出优势. 然而,形手可能是一个可靠的替代方案,用于精确的血压测量在这个人群.
科学领域:
- 儿科 儿科 儿科
- 心脏病学 心脏病学
- 肥胖问题研究研究
背景情况:
- 成人研究表明,木形袖口可以提高肥胖患者的血压 (BP) 精度.
- 儿童群体中肥胖的患病率正在增加,需要精确的血压监测.
- 在患有肥胖症的儿科患者中,标准血压测量技术可能不那么可靠.
研究的目的:
- 为了比较办公室血压 (BP) 水平使用形袖口与标准圆柱形袖口在儿童和青少年肥胖.
- 为了评估形袖口在儿科肥胖队列中测量血压的有效性.
- 为了确定形袖口是否为儿童肥胖症的血压评估提供了更好的准确性.
主要方法:
- 观察性研究包括37名肥胖儿童和青少年.
- 测量手臂周长 (AC) 以选择适合的形和圆柱形袖口的袖口尺寸.
- 用两种袖口类型获得的静缩血压 (SBP) 和静缩血压 (DBP) 读数的比较.
主要成果:
- 圆柱形和圆形袖口之间的BP水平没有统计学上显著的差异.
- 在两种袖口类型的测量结果之间发现了显著的正相关性 (p < 0.001).
- 布兰德-阿尔特曼分析表明协议良好,BP参数的94.6%在协议范围内.
结论:
- 在这个儿科肥胖群体中,形袖口在血压测量方面与圆柱形袖口相比没有表现优势.
- 圆形手可以作为办公室血压测量在儿童和青少年肥胖的可行的替代品.
- 建议在更大的群体和不同的环境中进一步验证以确认可靠性.
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