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对1970年1月～1989年12月儿童风湿热住院病儿108例,分70年代和80年代两组,进行了回顾性分析及统计学处理。结果表明,80年代占同期住院人数比例显著低于70年代(P<0.01);发热病儿减少(P<0.05);心脏受累的发生率也明显降低(P<0.01);80年代病儿起病更缓慢,症状隐匿,缺乏典型性。但即使80年代慢性心瓣膜病的发生率仍达13.9%。提示风湿热仍是儿童慢性心瓣膜病的重要原因,仍应重视儿童风湿热,尤其是不典型者,争取早诊断,早治疗,以免引起心脏的永久性损害。
From January 1970 to December 1989, 108 children with rheumatic fever in hospital were enrolled in this study. The patients were divided into two groups from the 1970s and 1980s, and were retrospectively analyzed and statistically analyzed. The results showed that the proportion of hospitalized patients in the same period of the 1980s was significantly lower than that of the 1970s (P <0.01), decreased in children with fever (P <0.05), and significantly lower in the incidence of cardiac involvement (P <0.01) The disease is more slow, symptoms hidden, the lack of typical. But even the incidence of chronic heart valvular disease in the 1980s still reached 13.9%. Tip rheumatic fever is still an important cause of chronic heart valve disease in children should still attach importance to children with rheumatic fever, especially those who are not typical, for early diagnosis and early treatment, so as not to cause permanent heart damage.