Brennan R E, Patel M S
Department of Health and Community Services, Alice Springs, NT.
Med J Aust. 1990 Sep 17;153(6):335, 338-9. doi: 10.5694/j.1326-5377.1990.tb136942.x.
A retrospective study of clinical case records was conducted at the health centre of a rural central Australian Aboriginal community to determine the frequency of acute rheumatic fever and of rheumatic heart disease between 1978 and 1987. The case records of 976 residents over 5 years of age were examined for evidence of the clinical indicators of acute rheumatic fever or rheumatic heart disease; together they contributed 8015 person-years of study. During the 10-year study period, 18 patients developed acute rheumatic fever and 12 patients had rheumatic heart disease. The annual incidence of acute rheumatic fever (first and recurrent attacks) for children aged 5-14 years was 815 per 100,000 person-years. For the residents aged 5 years and over, the point prevalence for rheumatic heart disease at the end of 1987 was between 7.9 and 12.3 per 1000 persons, according to health clinic records and the official population census, respectively. These rates are similar to those reported for Third World countries. Preventive measures must include efforts by health professionals to help to alleviate the adverse living conditions in Aboriginal communities.
在澳大利亚中部一个农村原住民社区的健康中心开展了一项临床病例记录回顾性研究，以确定1978年至1987年间急性风湿热和风湿性心脏病的发病频率。检查了976名5岁以上居民的病例记录，以寻找急性风湿热或风湿性心脏病临床指标的证据；他们总共提供了8015人年的研究数据。在为期10年的研究期间，18名患者患上急性风湿热，12名患者患有风湿性心脏病。5至14岁儿童急性风湿热（首次发作和复发）的年发病率为每10万人年815例。根据健康诊所记录和官方人口普查，1987年底5岁及以上居民风湿性心脏病的时点患病率分别为每1000人7.9至12.3例。这些发病率与第三世界国家报告的发病率相似。预防措施必须包括卫生专业人员努力帮助改善原住民社区的不良生活条件。
