中国全科医学 ›› 2023, Vol. 26 ›› Issue (18): 2183-2189.DOI: 10.12114/j.issn.1007-9572.2022.0834

• 综述与专论 •    下一篇

正常高值血压对于儿童青少年的意义

刘海1, 黄冠华2,*()   

  1. 1.014040 内蒙古自治区包头市,内蒙古科技大学包头医学院研究生院
    2.014040 内蒙古自治区包头市,内蒙古科技大学包头医学院第二附属医院高血压研究所
  • 收稿日期:2022-12-18 修回日期:2023-02-17 出版日期:2023-06-20 发布日期:2022-12-20
  • 通讯作者: 黄冠华

  • 作者贡献:黄冠华提出提出概念,负责论文的质量控制;刘海负责论文构思,进行文献检索、论文撰写;所有作者确认了论文的最终稿。
  • 基金资助:
    内蒙古自治区卫健委科技计划项目(202201434)——中(蒙)药十三味丸对青年高血压患者血压变异性的控制评价; 包头医学院青年科技人才发展计划(BYJJ-QNGG2022056)——儿童青少年血压与头痛

The Significance of High Normal Blood Pressure for Children and Adolescents

LIU Hai1, HUANG Guanhua2,*()   

  1. 1. Graduate School of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou 014040, China
    2. Hypertension Research Institute of the Second Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou 014040, China
  • Received:2022-12-18 Revised:2023-02-17 Published:2023-06-20 Online:2022-12-20
  • Contact: HUANG Guanhua

摘要: 目前大部分国家和组织发布的儿科高血压指南对高血压的定义基于健康儿童青少年血压序列的第95百分位(P95)的血压值。然而,大量数据显示正常高值血压发展为高血压的风险更高且会造成和高血压类似的靶器官损害。本综述对不同国家和组织关于儿童青少年血压的分类方法、儿童青少年正常高值血压和高血压的患病率、正常高值血压向高血压的进展比例及正常高值血压造成的靶器官损害进行阐述,强调儿科医生未来应加强对儿童青少年正常高值血压和高血压定义的关注。

关键词: 高血压, 正常高值血压, 高血压前期, 儿童青少年, 靶器官, 综述

Abstract:

At present, almost all the definitions of hypertension in pediatric hypertension guidelines issued by countries and organizations are based on blood pressure percentile of 95% (P95). However, a large number of research data have shown that high normal blood pressure has a higher risk of progression to hypertension and cause similar target organ damage as hypertension. The review summarized the classification methods of blood pressure of children and adolescents in different countries and organizations, the prevalence of hypertension and high normal blood pressure, the rate of progression from high normal blood pressure to hypertension, and target organ damage caused by high normal blood pressure in children and adolescents, emphasizing that pediatricians should pay greater attention to the definition of high normal blood pressure and hypertension for children and adolescents.

Key words: Hypertension, Normal high blood pressure, Prehypertension, Children and adolescents, Target organ, Review