摘要
目的应用《中国高血压防治指南2010》中儿童高血压诊断标准与2004年美国国家高血压防治委员会诊断标准比较7～12岁秦皇岛市儿童高血压发病率的差别。方法通过分层整群随机抽样的方法,选取秦皇岛市7～12岁学龄儿童1507人(男生763人,女生744人)作为研究对象,测量身高、体质量和血压。结果应用两种诊断标准计算7～12岁儿童高血压的患病率分别为6.1%(中国标准)和2.6%(美国标准),两种诊断标准计算不同性别儿童高血压患病率差异无统计学意义(P>0.05)。中国标准与美国标准同时诊断,96.5%儿童为高血压或非高血压儿童,符合中国标准诊断而不符合美国诊断标准的高血压儿童仅3.5%。两种诊断标准在儿童中应用的一致性检验Kappa值为0.580(P<0.01)。结论两种标准的诊断一致性中等。两者之间存在差异,主要表现为部分儿童仅达到中国诊断标准。
Objective To compare the differences in the incidence of hypertension among the children aged seven to twelve in Qinhuangdao city by adopting children＇s diagnostic criterions for hypertension specified in the 2010 Chinese guidelines for prevention and treatment of patients with hypertension and 2004 national committee on prevention and treatment of high blood pressure, respectively. Methods In Qinhuangdao city, a total of 1507 subjects aged seven to twelve, including 763 boys and 744 girls, were recruited by stratified cluster random sampling for measuring their height, body mass and blood pressure. Results The prevalence rates of hypertension in children aged seven to twelve measured by Chinese criterion and American criterion were 6.1 ~ and 2.6 ~, respectively. Between children of different genders, there was not statistically significant difference in hypertension prevalence rate reckoned by Chinese and American criterions （P〉 0.05）. The percentage of hypertension or non-hypertension confirmed by both Chinese criterion and American criterion was 96.5%. Only 3.5% of the children were diagnosed with hypertension by Chinese criterion,which did not match the American criterion. The value of Kappa was 0. 580 in the ac- cordance test of two criterions applied in children （P〈0.01）. Conclusion The accordance of diagnosis based on Chinese and American criterions is moderate. There exist differences between the two diagnoses. Some children only meet Chinese diagnostic criterion.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2012年第8期733-737,共5页
Chinese Journal of Hypertension
基金
河北省自然科学基金(C2011107001)
关键词
高血压
儿童
诊断
Hypertension
Children
Diagnosis
