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題名 | Correlation between blood pressure and urinary electrolyte excretion in school children=學童血壓及尿電解質排泄量之相關關係 |
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作者 | 陳炯暉; 陳遠浩; 吳玉村; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 27:4 民75.07-08 |
頁次 | 頁278-285 |
分類號 | 414.91 |
關鍵詞 | 血壓; 尿; 相關; 排泄; 量; 電解質; 學童; 關係; |
語文 | 英文(English) |
中文摘要 | 於127個、8歲、12歲及18歲之男性學童檢查血壓及24小時尿電解質排泄量之結果發現,學童之血壓隨年齡而增加,收縮血壓從100.8±9.3增加到126±11.9。並且舒張血壓從63.3±8.2增加到76.6±7.7。24小時尿鉀、磷、鎂的排泄量及尿鉀濃度是隨年齡而減少。反此尿鈣及肌酸肝排泄量隨年齡而增加。上述之變化與成人突發性高血壓症病人的尿電解質排泄狀況相似。從上述的電解質排泄量以及估計出來的電解質之攝取量判斷起來,可以假說:鈣及鎂之攝取量可以影響小孩之血壓之增加,並且尿鉀及磷排泄量之減少暗示細胞之成熟而引起末梢血管抵抗力之增加,而最後可引發血壓之增加也。 |
英文摘要 | One hundred and twenty seven school boys, aged 8, 12, or 18 years, were studied to measure blood pressure and 24-hour urinary electrolyte excretion. Both systolic and diastolic blood pressure increased with age from 100.8±9.3 to 126±11.9, and 63.9±8.2 to 76.6 ±7.7, respectively. The 24-hour excretion of potassium, magnesium and phosphate, corrected for body size, together with urinary potassium concentration decreased progressively with age. On, the other hand, creatinine excretion, calcium excretion and urinary sodium/potassium ratio increased with age. These patterns of urinary excretion, with the exception of phosphate excretion, are similar to those of edit its with hypertension. On the basis of the estimated intake of electrolytes, it is hypothesized that low urinary potassium and phosphate, taken together with hypercalciuria, are developmental factors contributing to the rise of blood Pressure with age, by increasing peripheral vascular resistance; low magnesium and calcium intake contribute as major exogenous factors. |
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