关键词: 高血压, 儿童, 治疗

Abstract:

Hypertension in children is common， and the prevalence of primary hypertension and number of children with obesity are  increasing with the changing dietary choices. The treatment mainly includes the non-drug treatment and the drug treatment. Dietary modification， such as the Dietary Approaches to Stop Hypertension（DASH） diet， weight control， and regular aerobic exercise are the cornerstones of therapy for primary hypertension. For symptomatic hypertension，or when diabetes mellitus or target organ damage appears drug treatment is necessary. Specific medication choice for hypertension management is determined by the underlying cause of hypertension and the comparative adverse effect profiles. Antihypertensive medication should be initiated at a starting dose and gradually increased to effective dose. If it’s ineffective at a maximum dose，an additional medication can be added.

Key words:  , hypertension；child；management