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川西平原中小学生风湿热及风湿性心脏病流行病学调查
引用本文:陈晓平,章茂顺,黄德嘉,黄明慧,熊运文,解曼蓉,寿裕蓉,李明龙,吴诚,曾焕琼,李秀蓉,郑明霞.川西平原中小学生风湿热及风湿性心脏病流行病学调查[J].四川大学学报(医学版),2003,34(3):533-535.
作者姓名:陈晓平  章茂顺  黄德嘉  黄明慧  熊运文  解曼蓉  寿裕蓉  李明龙  吴诚  曾焕琼  李秀蓉  郑明霞
作者单位:1. 四川大学华西医院,心内科,成都,610041
2. 成都市青白江区红十字会
3. 成都钢铁厂职工医院
4. 德阳市卫生防疫站
基金项目:国家 8· 5攻关课题 ( 85 -915 -0 1-0 7)
摘    要:目的:了解川西地区风湿热及风心病流行情况。方法:按照全国统一方案对5~18岁学生进行风湿热发病监测及风心病患病率调查。结果:川西平原地区风湿热发病率为12.87/10万。城市与农村无明显差异(分别为12.74/10万及12.94/10万),男女间无明显差异。该病以9~15岁多发,主要见于秋冬季,且全部病例均患有关节炎,其中83.3%合并心脏损害。风心病患病率为11%o。结论:对川西地区中小学生进行风湿热发病监测及社区控制是必要和有效的。

关 键 词:川西平原  中小学生  风湿热  风湿性心脏病  流行病学  调查
修稿时间:2002年12月23

An Epidemiologic Investigation of Acute Rheumatic Fever and Rheumatic Heart Disease Among Students Aged 5-18 in West Area of Sichuan Province
Chen Xiaoping ,Zhang Maoshun,Huang Dejia,Huang Minghui,Xiong Yunwen,Xie Manrong,Shou Yurong,Li Minglong,Wu Cheng,Zeng Huanqiong,Li Xiurong,Zheng Ming- xia.An Epidemiologic Investigation of Acute Rheumatic Fever and Rheumatic Heart Disease Among Students Aged 5-18 in West Area of Sichuan Province[J].Journal of West China University of Medical Sciences,2003,34(3):533-535.
Authors:Chen Xiaoping  Zhang Maoshun  Huang Dejia  Huang Minghui  Xiong Yunwen  Xie Manrong  Shou Yurong  Li Minglong  Wu Cheng  Zeng Huanqiong  Li Xiurong  Zheng Ming- xia
Institution:Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China.
Abstract:Objective To study the incidence of acute rheumatic fever (ARF) and its epidemiologic features and the prevalence rate of rheumatic heart disease in west area of Sichuan province. Methods By using disease surveillance program, an epidemiologic investigation of ARF was performed from June 1992 to June 1995 and an annual screening survey was carried out among 46595 students aged 5-18 in 1993 and 1994. Results The annual incidence of ARF was 12.87 per 10 5, there was no difference between the rural area and the urban area. ARF was found to be more frequent in students aged 9-15 years and in autumn and winter. All of the ARF patients had rheumatis and 83.3% of the cases were accompanied with heart lesion. The prevalence rate of rheumatic heart disease was 11 per thousand. Conclusion The long-term monitoring of epidemiologic trend and community-based controls of rheumatic fever and rheumatic heart disease among students aged 5-18 are necessary and effective.
Keywords:Acute rheumatic fever Rheumatic heart disease Epidemiology
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