Jones 标准（急性风湿热，2015）
用途适用： suspected ARF when major/minor manifestations and GAS evidence are being assessed.
分层Classification aid for initial ARF. Echo carditis counts as major in 2015 revision.
局限不适用： as a substitute for full rheumatology/cardiology work-up. · 易错点： applying low-risk cutoffs in endemic high-prevalence regions. · Post-strep reactive arthritis and other mimics exist.
出处Gewitz MH, et al. Circulation 2015 (Jones criteria)
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： suspected ARF when major/minor manifestations and GAS evidence are being assessed.
需要填写的项目
- ARF prevalence setting · 选项
- Evidence of preceding group A strep (culture / rapid Ag / rising ASO-antiDNaseB) · 选项
- Major: Carditis (clinical and/or subclinical echo) · 选项
- Major: Arthritis (poly in low-risk; mono/poly/polyarthralgia allowable in mod/high) · 选项
- Major: Sydenham chorea · 选项
- Major: Erythema marginatum · 选项
- Major: Subcutaneous nodules · 选项
- Minor: Fever (≥38.5 °C low-risk / ≥38.0 °C mod-high) · 选项
- Minor: Arthralgia (poly low-risk; mono mod-high) — only if arthritis major absent · 选项
- Minor: Elevated ESR/CRP (ESR≥60 low-risk or ≥30 mod-high; and/or CRP≥3.0 mg/dL) · 选项
- Minor: Prolonged PR (after accounting for age; only if carditis major absent) · 选项
计算方法与公式
Low-risk: 2 major or 1 major+2 minor. Mod/high-risk: also allows 3 minor. Plus preceding GAS (exceptions: chorea / indolent carditis).
Select prevalence setting; count majors/minors with exclusion rules (arthralgia if no arthritis major; PR if no carditis major).
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| ARF prevalence setting | Low-risk population |
|---|---|
| Evidence of preceding group A strep (culture / rapid Ag / rising ASO-antiDNaseB) | No / pending |
| Major: Carditis (clinical and/or subclinical echo) | 否 |
| Major: Arthritis (poly in low-risk; mono/poly/polyarthralgia allowable in mod/high) | 否 |
| Major: Sydenham chorea | 否 |
| Major: Erythema marginatum | 否 |
| Major: Subcutaneous nodules | 否 |
| Minor: Fever (≥38.5 °C low-risk / ≥38.0 °C mod-high) | 否 |
| Minor: Arthralgia (poly low-risk; mono mod-high) — only if arthritis major absent | 否 / 不适用 |
| Minor: Elevated ESR/CRP (ESR≥60 low-risk or ≥30 mod-high; and/or CRP≥3.0 mg/dL) | 否 |
| Minor: Prolonged PR (after accounting for age; only if carditis major absent) | 否 / 不适用 |
→Jones 2015Criteria not met
- Majors / minors：0 / 0
- Pathway：—
- Setting：Low-risk
| ARF prevalence setting | Moderate / high-risk population |
|---|---|
| Evidence of preceding group A strep (culture / rapid Ag / rising ASO-antiDNaseB) | 是 |
| Major: Carditis (clinical and/or subclinical echo) | 是 |
| Major: Arthritis (poly in low-risk; mono/poly/polyarthralgia allowable in mod/high) | 是 |
| Major: Sydenham chorea | 是 |
| Major: Erythema marginatum | 是 |
| Major: Subcutaneous nodules | 是 |
| Minor: Fever (≥38.5 °C low-risk / ≥38.0 °C mod-high) | 是 |
| Minor: Arthralgia (poly low-risk; mono mod-high) — only if arthritis major absent | 是 |
| Minor: Elevated ESR/CRP (ESR≥60 low-risk or ≥30 mod-high; and/or CRP≥3.0 mg/dL) | 是 |
| Minor: Prolonged PR (after accounting for age; only if carditis major absent) | 是 |
→Jones 2015Criteria met (with strep evidence)
- Majors / minors：5 / 2
- Pathway：≥2 major
- Setting：Mod/high-risk
结果判读与分层
Classification aid for initial ARF. Echo carditis counts as major in 2015 revision.
指南要点（原创整理）
- 2015 AHA revision.
- GAS evidence usually required.
- 下一步： echo / secondary prophylaxis.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： as a substitute for full rheumatology/cardiology work-up.
- 易错点： applying low-risk cutoffs in endemic high-prevalence regions.
- Post-strep reactive arthritis and other mimics exist.
核对与出处 · 可验证治理
参考指南与出处
- Gewitz MH, et al. Circulation 2015 (Jones criteria) · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- Jones 标准（急性风湿热，2015）的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- Jones 标准（急性风湿热，2015）怎么代入计算？能举个例子吗？
- 代入: ARF prevalence setting Low-risk population、Evidence of preceding group A strep (culture / rapid Ag / rising ASO-antiDNaseB) No / pending、Major: Carditis (clinical and/or subclinical echo) 否、Major: Arthritis (poly in low-risk; mono/poly/polyarthralgia allowable in mod/high) 否、Major: Sydenham chorea 否、Major: Erythema marginatum 否、Major: Subcutaneous nodules 否、Minor: Fever (≥38.5 °C low-risk / ≥38.0 °C mod-high) 否… → 结果: Jones 2015 Criteria not met（Majors / minors: 0 / 0、Pathway: —、Setting: Low-risk） 代入: ARF prevalence setting Moderate / high-risk population、Evidence of preceding group A strep (culture / rapid Ag / rising ASO-antiDNaseB) 是、Major: Carditis (clinical and/or subclinical echo) 是、Major: Arthritis (poly in low-risk; mono/poly/polyarthralgia allowable in mod/high) 是、Major: Sydenham chorea 是、Major: Erythema marginatum 是、Major: Subcutaneous nodules 是、Minor: Fever (≥38.5 °C low-risk / ≥38.0 °C mod-high) 是… → 结果: Jones 2015 Criteria met (with strep evidence)（Majors / minors: 5 / 2、Pathway: ≥2 major、Setting: Mod/high-risk）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →