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左室重量与青少年血压发展变化的关系(5年随访报告)
Left Ventricular Mass and the Blood Pressure Evolution in Children and Adolescents:a Report of a 5 Year Follow-up
【摘要】 198 7年对一组汉中市农村 6~ 15岁少儿经用 M-型超声心动图测定左心室重量并进行血压等相关因素的 5年随访对比观察。结果表明 ,5年中一直 SBP≥ P95 以上者 ,左心室重量高于SBP≤ P5 0 以下者 ;左心室重量与收缩压的相关性随着时间的推移而加强 ;男性少儿左室重量在 95 % CI上界以上者 ,于第 5年时仍有 6 0 %的人收缩压值处于该年龄、性别收缩压百分位 90以上。提示左心室重量 ,特别在男性少年儿童对血压发展有预测意义
【Abstract】 In 1987,based on blood pressure cross section survey of 4916 school children aged 6~15 years,199 pupils with their systolic blood pressure equal or greater than percentiles 95 (SBP≥P\-\{95\}) on age and sex were chosen as the higher blood pressure group and matched age sex with SBP≤P\-\{50\} as the controls.For both groups,the left ventricular mass(LVM) was calculated according to the M mode echocardiographic estimations and their BP was followed up in 1989 and 1992,respectively.The results showed that:(1)the LVM in children with SBP≥P\-\{95\} during all the follow up was greater than that in those with SBP≤P\-\{50\};(2)the correlation of LVM with SBP was intensified with the time shift;(3)for the boys,if their LVM was above 95% CI,the SBP would be ≥P\-\{90\} in 60% of them after 5 years,but only 29.5% for the girls.We believe that LVM,especially in boys has played a role in prediction of the future blood pressure.
- 【文献出处】 中国高血压杂志 ,Chinese Journal of Hypertension , 编辑部邮箱 ,1993年02期
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