小児の24時間自由行動下血圧に関する研究 : 年齢・性・成長との関連(東京女子医科大学東医療センター小児科開局40周年記念論文集)
Autor: | HOMMA, Satoshi, ITOH, Keiko, ASAI, Toshio, SUGIHARA, Shigetaka |
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Jazyk: | angličtina |
Rok vydání: | 2007 |
Předmět: | |
Zdroj: | 東京女子医科大学雑誌. 77:E46-E53 |
ISSN: | 0040-9022 |
Popis: | 正常血圧小児68例(男子31例,女子37例)を対象に24時間自由行動下血圧測定を行った.対象を小学生男子群(14例),小学生女子群(24例),中・高校生男子群(17例),中・高校生女子群(13例)の4群に分類し検討を行った.24時間,夜間(O~6時),日中(9~20時)の各時間帯の血圧平均値と身体計測値(身長・体重・肥満度・体表面積)および年齢との相関を検討したところ,一部に相関が認められた.血圧日内変動の検討では,全ての群において夜間に有意な血圧低下と心拍数低下が認められた(p Ambulatory blood pressure monitoring (ABPM) was performed in 68 children with normal blood pressure. There were 14 boys (junior boys) and 24 girls (junior girls) in primary school and 17 boys (senior boys) and 13 girls (senior girls) in junior high school or senior high school. A significant daily fluctuation in ABPM values in systolic and diastolic blood pressure was observed in all four groups. Only some of the average blood pressure values in three periods (24 hr, daytime from 09:00 to 20:00, and nighttime from 00:00 to 06:00) were positively correlated with anthropometrical values. The average blood pressure values at nighttime were significantly higher in the senior boys than in the junior boys. When the blood pressure values were rearranged in ascending order and the lowest 12 and highest 12 of all 48 values measured every 30 min for 24 hr were used, in contrast to the time series data, significant differences in the bottom and top quartile groups of blood pressure values were found between the junior and senior age groups and between boys and girls. In conclusion, the method that used rearranged blood pressure values appeared to be useful for evaluating ambulatory blood pressure in children and adolescents. 東京女子医科大学東医療センター児科開局40周年記念論文集 |
Databáze: | OpenAIRE |
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