小儿风湿热及风湿性心脏病的临床表现及特点分析  

Clinical manifestations and features analysis of rheumatic fever and rheumatic heart disease in children

作　　者：葛丽萍[1] 李娟[1] 张丽萍[1] Ge Liping;Li Juan;Zhang Liping(Department of Cardiology,the Children's Hospital of Kunming City,the Children's Hospital Affiliated to Kunming Medical University 650034)

机构地区：[1]昆明市儿童医院,昆明医科大学附属儿童医院心血管内科,650034

出　　处：《中国社区医师》2016年第30期132-132,134,共2页Chinese Community Doctors

摘　　要：目的:分析小儿风湿热及风湿性心脏病的临床表现及特点。方法:收治因风湿热所致风湿性心脏病患儿60例,分为观察组和对照组。比较两组患儿的临床资料以及实验室检查结果。结果:观察组心肌炎发病率明显高于对照组(P<0.05)。对照组心力衰竭、多发性关节炎合并心肌炎、关节痛的发病率明显高于观察组(P<0.05)。观察组GAS阳性率明显高于对照组(P<0.05)。观察组Cox B阳性率明显低于对照组(P<0.05)。结论:结合临床表现及实验室检查结果可提高小儿风湿热及风湿性心脏病的确诊率。Objective:To analyze the clinical manifestations and features of rheumatic fever and rheumatic heart disease inchildren.Methods:60 cases of children with rheumatic heart disease caused by rheumatic fever were divided into the observationgroup and the control group.The clinical data and laboratory results of the two groups were compared.Results:The incidence rateof myocarditis in the observation group was significantly higher than that in the control group (P<0.05).The incidence of heartfailure,polyarthritis merge carditis and joint pain in the control group were significantly higher than those in the observation group(P<0.05).The positive rate of GAS in the observation group was significantly higher than that in the control group (P<0.05).Thepositive rate of CoxB in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Combined with clinical manifestations and laboratory examination results could improve the diagnosis rate of rheumatic fever andrheumatic heart disease in children.

关 键 词：风湿性心脏病 风湿热 临床表现 

分 类 号：R725.4[医药卫生—儿科]