- 期刊
Normal Oscillometric Blood Pressure Values in Chinese Children During Their First Six Years
六歲前中國兒童血壓之正常值
摘要
爲建立國人嬰幼兒正常血壓值，我們以示波計型血壓計，測量3937位出生一天至六歲的正常健康幼兒血壓及心跳，並且同對測量身長、體重及三角肌上皮膚皮下脂肪厚度。在設法使嬰幼兒安靜後，連續測量血壓及心跳三次，以平均值計算。一歲以下幼兒採臥姿，一歲以上則採坐姿。結果發現出生第一天，血壓（收縮壓／舒張壓／平均壓）爲62.1/39.7.47.2 mmHg，隨年齡增長快速上升，至一週時爲72.7/46.9/56.6 mmHg，二個月時爲85.0/47.4/56.0mmHg，隨後，血壓隨年齡增長而緩緩上升。但年齡相同的男女幼嬰，雖性別不同，血壓並無差異。以嬰幼兒體重分析，血壓值隨體重增加而上升，血壓在體重5公斤以內爲68.0/43.7/53.1mmHg ，體重在5-10公斤，血壓爲87.6/41.8/59.8mmHg。所以，如配合適當的壓脈帶，示波計型血壓計可測定任何年齡的嬰幼兒血壓值，本研究結果可提供作爲測量嬰幼兒血壓值的依據。
並列摘要
To establish normal blood pressure values, values of the upper arm blood pressure, heart rate, body weight, body length and thickness of skin fold over the deltoid area were measured in 3937 healthy children aged 1 day to 6 years. The cuff to measure the blood pressure was selected to cover a two- thirds length of the upper arm. Triple measurements of blood pressure and heart rate were obtained from infants younger than one year of age by an oscillometric device at supine position and in a quiet situation and at a sitting position from children older than one year. The average of blood pressure values (systolic/diastolic/mean) increased rapidly from 62.1/39.7/47.2mnmHg at age day one up to 72.7/ 46.9/56.6mnmHg at one week of life and up to 85.0/47.4/56.0 mmHg at age two months. After that, the blood pressure value (systolic/diastolic/mean) increased gradually with age. Blood pressure values (systolic/diastolic/mean) increased rapidly from 68.0/43.7/53.1 mmHg in children weighing less than 5kg up to 87.6/41.8/59.8mnmnHg in those weighing 5 to 10kg; then values increased gradually with body weight. There were no significant differences in blood pressure and heart rate between boys and girls with different ages, different body lengths or different body weights.