心血管病专科医院开展心电图远程会诊的价值  

Value of remote ECG consultation launched by cardiovascular disease specialized hospital

作　　者：张林[1] 刘鸣[1] 石颖华 夏菲[1] 向黎明[1] 郑小俊[1] 

机构地区：[1]湖北省武汉亚洲心脏病医院心肺功能检测中心,湖北武汉430022

出　　处：《心血管康复医学杂志》2015年第1期71-73,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨基层医疗机构心电图远程会诊的价值。方法:对湖北省监利县不同级别医疗机构的远程心电图会诊资料进行统计分析。结果:(1)该地区县级医院心电图会诊病例共1334例,阳性率41.00%(547/1334),异常心电图类型发生率较高的前三种依次为心律失常(27.29%)、左心室肥厚(9.15%)、ST-T改变(2.62%);(2)各乡村卫生室会诊病例共723例,阳性率55.19%(399/723),异常心电图类型发生率较高的前三种依次为心律失常(34.02%)、ST-T改变(11.07%)、左心室肥厚(5.39%)。结论:远程心电图会诊简便易行,可提高缺乏心电图设备、人才的农村地区的一过性异常心电事件的检出率,便于早期治疗,改善预后,值得推广。Objective：To explore the clinical value of remote ECG consultation for primary medical institutions. Methods：Remote ECG consultation data for medical institutions of different levels in Hubei Jianli county were sta-tistically analyzed.Results：In county hospitals of this area,there were 1334 cases of ECG consultation,the positive rate was 41.00% （547/1334）,and the three abnormal ECG types with highest incidence rate were arrhythmia （27.29%）,left ventricular hypertrophy （LVH,9.15%）and ST-T change （2.62%）in order;in rural health rooms of this area,there were 723 cases of ECG consultation,the positive rate was 55.19%（399/723）,and the three ab-normal ECG types with highest incidence rate were arrhythmia （34.02%）,ST-T change （11.07%）and LVH （5.39%）in order.Conclusion：The remote ECG consultation is easy to perform.It can rise the detection rate of transient abnormal ECG events in rural area,where is lack of ECG equipment and personnel,so it is worthy of ex-tending.

关 键 词：心血管疾病 心电描记术 远程会诊 乡村卫生服务 

分 类 号：R540.41[医药卫生—心血管疾病]