江苏省川崎病流行病学调查

了解江苏省川崎病发病情况、流行特征。方法制作统一调查表,寄发至全省有儿科病床县、市级医院,对１９９３年１月至１９９７年１２月５年间住现病人进行调查,收集调查表,对发病率年、年龄,性别、季节,地区等方面进行分析。结果１９９３－１９９７年全省川现发病共５０９例,有逐年增加趋势,但未发现流行。

Study on the epidemiological features of Kawasaki disease in Jiangsu

Objective　To investigate the incidence ofK awasaki disease and epidemiological characteristics in Jiangsu province. Methods　Questionaireand diagnostic guidelines for Kawasa ki disease with color-printed photographs of typicalclinical symptoms were sent to all county hospitals with pediatric beds. All thein-patients with Kawasaki disease hospitalized from January, 1993 to December, 1997 werestudied regarding age, sex,season of illness,cardiac sequelae,outcome etc.Results　Therewere 509 cases (329 males and 180 females) diagnosed with 489 cases (96%) clinicallytypical. The incidence of the 5-year period was averaged 2.53 per 100 000 children under5. The number of male patients with Kawasaki disease was higher than that in female. Theage peak of incidence was between 6 month and 2-year olds. 13.6% of all cases developedcardiac sequelae which mostly o ccured in males and in those younger than 2 years of age.There was one pati ent recurred among total patients reported (recurrence rate 0.2%) and 2patients died (fatality rate 0.4%). Conclusion　The epidemiologica lcharacteristics of Kawasaki disease in Jiangsu province were similar to those in Japan insex, season distribution and cardiac sequelae. The number of patient s in male was higherthan in female. Patients were more commonly seen in spring than in winter. However,theincidence rate in Jiangsu was significantly lower th an that in Japan and the age peak wasbetween 6 month and 2 years old.