建议简化儿科高血压的定义:弥合知觉和行动之间的差距
Lili Yang1, Yanan Qiao1, Min Zhao2
1Department of Epidemiology/Department of Maternal, Child and Adolescent Care, School of Public Health, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
儿童和青少年的常规高血压查可以简化. 新的静态血压 (BP) 截止值为儿童120/80 mmHg,青少年130/80 mmHg,改善了儿科高血压的检测.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 公共卫生 公共卫生
- 临床实践指南 临床实践指南
背景情况:
- 常规的高血压查对儿童和青少年至关重要,但往往受到复杂的,多变量的血压 (BP) 百分位表的阻碍.
- 目前的诊断工具对于初级儿科护理和大规模调查是不方便的,导致诊断不足.
研究的目的:
- 建议和验证简化,静态血压 (BP) 切割值用于儿科患者的高血压查.
- 在临床环境中提高儿科高血压检测的效率和准确性.
主要方法:
- 探索儿童和青少年各种简化高血压查工具.
- 建议和评估静态血压截止值:120/80 mmHg为6-12岁,130/80 mmHg为13-17岁.
- 拟议的静态切断与复杂的BP百分位数基础表进行比较,用于预测心血管损伤.
主要成果:
- 拟议的静态血压截止值在识别亚临床心血管损伤方面表现与传统百分位数表相比.
- 简化方法显示了在儿童和成年期更准确,更方便的高血压查的潜力.
结论:
- 建议在例行儿科高血压查中采用静态血压切断值 (儿童为120/80 mmHg,青少年为130/80 mmHg).
- 旨在弥合高血压感知与临床行动之间的差距,改善早期检测和管理.
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