在有阻塞性睡眠呼吸暂停的学龄儿童中与血压相关的因素
Shameka Rodgers Phillips1, Laura Gray2, Ann Hammack Johnson3
1Seattle Children's Research Institute, University of Washington, Seattle, WA, USA.
Western journal of nursing research
|May 24, 2025
概括
体重指数 (BMI) 是影响阻塞性睡眠呼吸暂停 (OSA) 的儿童血压 (BP) 的主要因素. 总睡眠时间 (TST) 的百分比与足够的潮尾二氧化碳 (ETCO2) 也影响BP,需要进一步调查.
科学领域:
- 儿科 儿科 儿科
- 睡眠医学 睡眠医学
- 心脏病学 心脏病学
背景情况:
- 患有阻塞性睡眠呼吸暂停 (OSA) 的儿童面临高血压 (BP) 的风险.
- 睡眠障碍,氧气水平和体重指数 (BMI) 等因素与血压变化有关,但它们在患有OSA的学龄儿童中的特定作用需要进一步阐明.
研究的目的:
- 在被诊断患有阻塞性睡眠呼吸暂停 (OSA) 的学龄儿童中识别与血压 (BP) 相关的因素.
主要方法:
- 从儿童腺切除试验中对163名学龄儿童的二次数据分析.
- 横截面研究检查BP与变量之间的关系,包括BMI,睡眠参数和潮尾二氧化碳 (ETCO2).
主要成果:
- 在BMI百分位数和心血压 (SBP) 和心血压 (DBP) 之间观察到正相关性.
- 在对种族和OSA严重程度进行调整后,BMI百分位数和DBP之间的关联仍然显著.
- DBP还显示了与总睡眠时间 (TST) 的百分比与潮尾二氧化碳 (ETCO2) ≥50 mmHg的百分比的正相关性,即使控制了BMI,OSA严重程度和种族.
结论:
- 体重指数 (BMI) 成为患有OSA的学龄儿童血压的关键决定因素.
- 具有足够ETCO2水平的TST的百分比是影响该人口中BP的另一个重要因素.
- 综合评估多睡眠数据对于评估患有OSA的儿童的BP风险和并发症至关重要.
相关概念视频
Factors affecting Blood pressure
5.1K
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:
5.1K
Sleep Apnea
227
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
227
Special considerations while measuring blood pressure
829
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.
829
Measurement of Blood Pressure
1.5K
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...
1.5K
Hypertension I: Introduction
91
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,...
91
Hypertension and Regulation of Blood Pressure
3.1K
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...
3.1K


