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1987～1990年对海南省部分地区的5～18岁学生34 409人进行风湿热调查和监测,调查男18 040人(52.43%),女16 369人(47.57%);三年中共监测100 286人年,男52 747人年(52.60%),女47 539人年(47.40%);汉族75 446人年(75.23%),黎族23 445人年(23.38%);应答率97.76%。在三年监测中,检出风湿热39例,首次获得海南岛风湿热年发病率38.88/10万,男女发病率比较无显著性差异(P>0.05) 汉族与黎族发病率比较无显著性差异(P>0.05)。学龄儿童组检出风漫热23例,发病率较高(48.43/10万),青少年组检出风湿热15例,发病率次之(31.48/10万)学龄前儿童组检出风湿热1例,发病率(19.36/10万)。凡确诊风湿热患者,每月注射苄星青霉素G 120万单位,注射率92.99%,经登记随访,没有1例风湿热复发与死亡。每月注射苄星青霉素G是预防风湿热复发、防止风心病的一种有效而可靠的方法。
From 1987 to 1990, 34,409 students aged 5-18 years in some areas of Hainan Province were investigated and monitored for rheumatic fever, of which 18,040 (52.43%) were males and 16,369 (47.57%) were females. The monitoring of 100 286 The year of human life is 52,747 person-years (52.60%), 47,539 person-years (47.40%), 75,436 person-years of Han (75.23%) and 23,445 person-years (23.38%) of Li people. The response rate is 97.76%. In the three-year monitoring, 39 cases of rheumatic fever were detected, the first annual incidence of rheumatic fever in Hainan Island was 38.88 / 100 000, the incidence of men and women was no significant difference (P> 0.05), the incidence of Han and Li no significant difference (P> 0.05). In the school-age children group, the incidence of wind-heat fever was 23 (48.43 / 100000), 15 cases of rheumatic fever were detected in the adolescent group (31.48 / 100000), and the group of preschool children with rheumatic fever Cases, the incidence (19.36 / 100,000). Where the diagnosis of rheumatic fever, monthly injection of benzathine penicillin G 1.2 million units, the injection rate of 92.99%, registered and followed up, no one case of rheumatic fever recurrence and death. The monthly injection of benzathine penicillin G is an effective and reliable method of preventing rheumatic fever relapse and preventing rheumatic heart disease.