云南省川崎病患病情况调查

目的　了解云南省川崎病的发病、分布和流行病学特征。方法　采用日本中国川崎病流行病调查表 ,对云南省 12 6家县级以上有儿科病床的医院、妇幼保健院进行填表调查。结果　 5年间共报告患儿 594例 ,发病率 4 45 10万 ;男女之比为 1 50∶1(3 56 2 3 8) ,发病年龄以 5岁以下为主 (86 2 % )。以城市患儿居多为 3 98例(67 0 % )。少数民族患儿 45例 (7 6% )。 3 99例中发生心脏后遗症者 114例 (2 8 6% )。无死亡病例。复发病例4例 (0 7% )。结论　云南省川崎病发病明显低于日本 ,而与国内部分省份相近。心脏后遗症者高于日本与国内一些省份。基层医院应提高对川崎病的认识和提高诊断治疗水平

Epidemiological investigation of Kawasaki disease in Yunnan Province.

ObjectiveTo investigate the incidence,distribution and epide mi ological characteristics of Kawasaki disease in Yunnan Province.Method The epidemic questionnaires of Kawasaki disease jointly made by Japan an d China were adopted.The questionnaires were filled by the departments of pediat rics of 126 hospitals above county level,and mother and child health care hospi t als in Yunnan Province.The children diagnosed as Kawasaki disease from January 1 997 to December 2001 were chosen as the subjects.ResultsThe re turn rate of questionnaires was 85.7%,594 cases of the affected children had bee n reported during the period of five years.The incidence rate per 100000 childen were 4 45.The ratio male to female was 1 50 to 1(356/238).The majority of chi ld ren with Kawasaki disease were under five years old (86 2%).Most of the affecte d children(398,67 0%)were from city.There were 45 cases(7 6%)who were ethnic mi no rity.Among 399 cases,114 of them had sequela of heart.No death case was reported .Four cases(0 7%)relapsed.ConclusionThe incidence of Kawasaki disease in Yunnan Province are significantly lower than that of Japan and appro aching that of some provinces of China.However,the number of the children with s equela of heart is higher than that of Japan and some provinces of China.The doc tors working at grassroots hospitals should have acquaintance with Kawasaki dise ase and improve their level of diagnosis and treatment.