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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

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【作者】 刘治全杨鼎颐徐祥麟王双双杨芝兰王祥庆

【Author】 Liu Zhiquan\+1, Yang Dingyi\+1, Xu Xianglin\+2, Wang Shuangshuang\+1, Yang Zhilan\+1, Wang Xiangqing\+2 (1.The Cardiovascular Medicine of No 1 Affiliated Hospital,Xi′an Medical University\ 2.The Cardiovascular Research Institute of Hanzhong,Shanxi Province)

【机构】 西安医科大学第一附属医院心内科陕西省汉中市心血管病研究所陕西省汉中市心血管病研究所 710061710061723000

【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.

【关键词】 左室重量少年儿童高血压
【Key words】 LVMchildren and adolescentshypertension
【基金】 国家“八五”科技攻关项目!(编号 85 -915 -0 1-0 4)
  • 【文献出处】 中国高血压杂志 ,Chinese Journal of Hypertension , 编辑部邮箱 ,1993年02期
  • 【下载频次】16
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