Folomeeva O M, Amirdzhanova V N, Iakusheva E O, Lobareva L S, Loginova E Iu
Ter Arkh. 2002;74(5):5-11.
To analyze trends in rheumatic diseases (RD) incidence rate in population of Russia for a recent decade.
Medical RD statistics for all regions of Russia for 10 years (1990-1999) have been analysed.
Annual number of primary patients with RD has increased for 1990-1999 from 9,147,000 to 12,378,000 (by 35.3%). The percentage of patients with acute rheumatic fever and chronic RD of the heart diminished from 6.5 to 2.9%. Most of the diseases constitute the diseases of osteomuscular system and connective tissue (DOMS). The number of new cases with rheumatic heart diseases (RHD) in adolescents and adults has risen by 50 and 40%, respectively. RHD are especially frequent in the Volga-Vyatka and North-Caucasian regions (2.5 and 2.3 per 1000 against mean Russian 1.7). A total DOMS morbidity has increased for the recent decade by 41%. It is higher in the Central and North regions, in the West Siberia and lower in the North Caucasus, Far East, East Siberia. For the 7 years the above morbidity among children rose 2-fold, among adolescents--2.4-fold. Incidence of rheumatoid arthritis and ankylosing spondylarthritis in adult population of Russia has changed insignificantly while osteoarthrosis total and primary occurrence for 6 years increased by 78 and 58%, respectively.
RD become a real challenge for health service of Russia. Changes in RD structure require correction of the rheumatic service activities.
分析俄罗斯近十年来人群中风湿性疾病（RD）发病率的趋势。
分析了俄罗斯所有地区10年（1990 - 1999年）的医学RD统计数据。
1990 - 1999年，RD初诊患者的年数量从914.7万增加到1237.8万（增长了35.3%）。急性风湿热和慢性心脏RD患者的比例从6.5%降至2.9%。大多数疾病属于骨肌肉系统和结缔组织疾病（DOMS）。青少年和成年人中风湿性心脏病（RHD）的新发病例数分别增加了50%和40%。RHD在伏尔加 - 维亚特卡和北高加索地区尤为常见（每1000人中有2.5例和2.3例，而俄罗斯平均为1.7例）。近十年来，DOMS总发病率增加了41%。在中部和北部地区、西西伯利亚地区发病率较高，而在北高加索、远东、东西伯利亚地区发病率较低。在上述7年中，儿童的发病率增长了2倍，青少年增长了2.4倍。俄罗斯成年人群中类风湿性关节炎和强直性脊柱炎的发病率变化不显著，而骨关节炎的总发病率和6年的初发病率分别增加了78%和58%。
RD对俄罗斯的医疗服务构成了真正的挑战。RD结构的变化需要调整风湿性疾病服务活动。
