本文以二个年代风心病合并风湿活动的310例住院病人与1988～1989年对二个县的城镇和乡村11233名中小学生流行学调查资料为依据,对Jone’s标准提出几点看法。 1.多年来,有关风湿热的诊断标准争议颇多,不少学者认为1966年世界卫生组织专家会议建议使用的Jone’s“修正标准”(1965年)不够敏感,不能把轻症病例包括在内,加上本病的严重程度已显著下降,主要条件出现率太低。我们认为,Jone’s标准1944年制订至今巳近40年,风湿热风心病的人群流行已 In this paper, 310 cases of rheumatoid rheumatism in two age patients with inpatients and from 1988 to 1989 in two counties in urban and rural areas 11,333 primary and secondary school students epidemiological survey data based on Jone’s standards made a few observations. 1. There have been many controversies over the diagnostic criteria for rheumatic fever over the years. Many scholars believe that Jone’s “Amendment Standard” (1965) recommended by the 1966 WHO Expert Meeting was not sensitive enough to include mild cases, Coupled with the severity of the disease has dropped significantly, the prevalence of the main conditions is too low. In our opinion, the Jone’s standard has been developed for nearly 40 years so far in 1944 and the prevalence of rheumatic fever is already high