NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ TĂNG HUYẾT ÁP Ở TRẺ EM TỪ 5 TUỔI ĐẾN 16 TUỔI TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2022-2023

Abstract

Background: Hypertension was one of the cardiovascular diseases of great concern in children. The problem of treatment as well as controlling blood pressure according to goals has encountered many difficulties. In the Mekong Delta, so far there have been no studies on the characteristics of hypertension in children. Objectives: To describe the epidemiological, clinical, and paraclinical characteristics and treatment characteristics of hypertension in children at Can

Tho Children's Hospital. Materials and method: Descriptive case series was conducted on 60 hypertensive children from 5 to 16 years old who were treated at Can Tho Children's Hospital from July 2022 to April 2023. Epidemiological, clinical and paraclinical characteristics were collected; the results were analyzed to find the relationship with treatment outcomes. Results: Mean age was 10.8 years ± 3.0 years old. The rate of overweight - obese children was 55%. Urine abnormalities were 43.4%. The rate of dyslipidemia was 26.7%. Systolic hypertension (96.7%), diastolic hypertension was 3.3%. Regarding the cause, the secondary/ primary ratio was 55%/45%. The rate of patients successfully treated was 88.3%. The mean hospital stay was 9.2 ± 3.7 days. There was no relationship between 24-hour proteinuria (p=0.663), anemia (p=1.000), hyperglycemia (p=0.315), dyslipidemia (p=0.370) with treatment results. Family history (p=0.000), salty eating habits (p=0.004) were statistically significantly associated with treatment outcomes. Conclusion: Secondary hypertension and grade II hypertension predominated in children. Most children with high blood pressure were treated with antihypertensive drugs.