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目的 了解我院儿科近 2 0年来收治的风湿热及风湿性心脏病的发病率及临床表现的特点。方法 通过对 1979年 1月～ 1989年 12月及 1990年 1月～ 1999年 12月期间分别收治的 2 90例及 180例风湿热及风湿性心脏病患者的发病情况及临床表现进行回顾性分析 结果 1979年 1月～ 1989年 12月共收治风湿热及风湿性心脏病患者 2 90例 ,占我院儿科总住院病例的 1.4% ,1990年 1月～ 1999年 12月收治风湿热及风湿性心脏病患者 180例 ,占我院儿科总住院率的 0 .7% ,患病率随年龄增长 ,男性发病率高于女性。但发病季节无明显差异。近 10年城乡风湿热及风湿性心脏病差异较前缩小。风湿热临床表现较过去有明显变异 ,两次分析时心脏炎发病率分别为 2 2 .7%与2 5 .5 % ,但近 10年心脏炎较前明显减轻 ,关节炎发病率分别为 77.6%与 43 .3 % ,舞蹈病发病率分别为 3 .1%与 17.2 % ,说明近 10年发病率明显高于前 10年 ;皮下结节及环形红斑较罕见 ,慢性瓣膜损害以二尖瓣为主。结论 结果显示 ,儿童风湿热及风湿性心脏病患病率近 10年有明显下降 ,但对青少年健康造成的危害仍较大 ,必须长期对风湿热及风湿性心脏病的发病情况及临床特点进行监测 ,以便做好防治工作
Objective To understand the incidence and clinical features of rheumatic fever and rheumatic heart disease admitted to pediatric department in recent 20 years. Methods A retrospective analysis was made on the morbidity and clinical manifestations of 2 90 cases and 180 cases of rheumatic fever and rheumatic heart disease admitted from January 1979 to December 1989 and January 1990 to December 1999 respectively Results From January 1979 to December 1989, a total of 2 90 cases of rheumatic fever and rheumatic heart disease were admitted, accounting for 1.4% of the total pediatric total hospital cases in our hospital. From January 1990 to December 1999, rheumatic fever and rheumatic fever 180 cases of heart disease, accounting for pediatric hospital total rate of 0.7%, the prevalence increased with age, male morbidity than women. However, no significant difference in the season of onset. In recent 10 years, the difference between urban and rural rheumatic fever and rheumatic heart disease narrowed. The clinical manifestations of rheumatic fever than the past significant variability, the incidence of heart disease in the two analyzes were 22.7% and 25.5%, but the past 10 years was significantly reduced compared with the previous carditis, the incidence of arthritis were 77.6 % And 43.3%, the incidence of chorea were 3 .1% and 17.2%, indicating that the incidence of 10 years was significantly higher than the previous 10 years; subcutaneous nodules and annular erythema is rare, chronic valve damage to the mitral valve Mainly. Conclusions The results show that the prevalence of rheumatic fever and rheumatic heart disease in children has decreased significantly in recent 10 years, but the harm to adolescent health is still large. The incidence and clinical features of rheumatic fever and rheumatic heart disease must be long-term Monitoring, in order to do a good job in prevention and treatment