远程动态心电图信息系统的临床应用价值  

Clinical application value of telemonitoring ECG information system

作　　者：盛静宇[1] 石红建[2] 孙卫红[1] 杨玲伶[1] 

机构地区：[1]江苏大学附属武进医院心电学科,江苏常州213017 [2]江苏大学附属武进医院介入血管科,江苏常州213017

出　　处：《实用心电学杂志》2016年第4期265-267,270,共4页Journal of Practical Electrocardiology

基　　金：常州科技应用基础研究计划资助项目(CJ20160001);江苏省自然科学基金资助项目(BK2012589)

摘　　要：目的探讨远程动态心电图（telemonitoring ECG,TTECG）信息系统的临床应用价值。方法选取2015年6月至2016年5月分院传至本部心电会诊中心的Holter数据63例。将入选患者分为网络传输组（31例）和人工传递组（32例）。用动态心电图记录器在基层医院采集动态心电信息,分别通过人工传递和局域网传输的方式将信息传至医院心电会诊中心,由心电专科医师做出诊断。将开始诊断时间划分为1 h内、1~5 h和5~10 h,对不同时间段的诊断例数进行组间对比和分析。结果网络传输组的开始诊断时间明显早于工传递组[（1.2±0.5）h vs.（8.7±2.0）h,P〈0.05]。当开始诊断时间在1 h内时,网络传输组共诊断26例（83.9%）,人工传递组0例;在1~5 h时,两组分别诊断5例（16.1%）和12例（37.5%）;在5~10 h时,两组分别诊断0例和20例（62.5%）,差异有统计学意义（P〈0.01）。结论在基层医院应用TTECG信息系统可节省患者诊疗时间,实现远程的数据共享与会诊,有利于及时发现心血管事件,提高基层医院诊疗水平,临床实用价值较高。Objective To discuss the clinical application value of telemonitoring ECG（ TTECG） information system. Methods The Holter data of 63 patients were selected which were transmitted from branch hospital to ECG consultation center of central hospital from June2015 to May 2016. The enrolled patients were divided into network transmission group（ 31 cases） and artificial transmission group（ 32 cases）. Holter recorder was utilized in collecting Holter data in primary hospital; the data were then transmitted to ECG consultation center artificially or by local area network,respectively; ECG specialist physicians made diagnosis. The starting time of diagnosis was classified into within 1 h,1- 5 h and 5- 10 h. During different time periods,the diagnosed cases were made comparison and analysis between the two groups. Results The starting time of diagnosis in network transmission group was significantly earlier than that in artificial transmission group[（ 1. 2 ± 0. 5） h vs.（ 8. 7 ± 2. 0） h,P〈0. 05]. If the starting time of diagnosis was within one hour,network transmission group diagnosed 26 cases（ 83. 9%） in all while none of the patients was diagnosed by artificial transmission group. If the starting time of diagnosis was 1- 5 h,the diagnosed cases were separately 5 cases（ 16. 1 %）and 12 cases（ 37. 5 %） in the two groups. If the starting time of diagnosis was 5- 10 h,none of the patients was diagnosed by network transmission group while artificial transmission group diagnosed 20 cases（ 62. 5 %）. The difference was statistically significant（ P〈0. 01）. Conclusion TTECG information system applied in primary hospitals can shorten consultation hours for patients,and realize remote data sharing and consultation. It also has advantage in detecting cardiovascular events in time. It may improve the level of diagnosis and treatment in primary hospitals,and has great clinical practical value.

关 键 词：基层医院 动态心电图 远程动态心电图信息系统 

分 类 号：R541.4[医药卫生—心血管疾病]