心脏远程实时监护系统临床应用效果分析  

Analysis of application effect of cardiac remote real-time monitoring system

作　　者：潘荣全 张焕基[2] 林茴[2] 郭攸胜 李小玲[2] 张东辉[2] 

机构地区：[1]广东医科大学研究生学院,广东湛江524023 [2]中山大学附属第八医院心血管内科

出　　处：《心血管康复医学杂志》2017年第6期656-660,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：广东省重大科技专项资金项目(2013A022100014)~~

摘　　要：目的:探讨心脏远程实时监护系统的应用价值。方法:对210例患者应用心脏远程实时监护预警机(iHolter)进行实时监护,有心电异常情况会自动预警,以便及时采取相应处理;并对监护结果出具相应报告。根据不同年龄分为青年组(<45岁,59例)、中年组(45~60岁,56例)和老年组(≥60岁,95例),分析不同年龄、性别间发生心律失常的特点。结果:210例患者中发现心电异常191例(90.95%),其中发现恶性心律失常8例,通过预警及时给予干预措施,成功救治5例。与青年组和中年组比较,老年组短阵房性心动过速(16.9%、26.8%比54.7%)、心房颤动(0%、0%比8.4%)比例明显升高(P<0.05或<0.01);中年组和老年组心率变异性异常比例明显高于青年组(25.0%、36.8%比5.1%,P均<0.01)。男性短阵室性心动过速比例明显高于女性(81.3%比18.8%,P=0.013)。结论:心脏远程实时监护系统可以对心律失常、心肌缺血等心血管事件及时预警,为抢救患者争取更多的时间,最大限度地保护心脏功能,提高临床诊断的准确性。Objective： To explore clinical application effect of cardiac remote real- time monitoring system. Methods： Cardiac remote real - time monitoring warning instrument （iHolter） was applied in 210 patients. The iHolter gave a- lerts automatically in case of ECG abnormalities for corresponding treatment in time, and it offered corresponding reports on monitoring results. According to age, patients were divided into youth group （（45 years, n = 59）, mid- dle- aged group （45160 years, n = 56） and aged group （~60 years, n = 95）. Characteristics of arrhythmias among different age and sex were analyzed. Results： ECG abnormalities were found in 191 cases （90.95%） out of 210 pa- tients, including eight cases with malignant arrhythmias, in which five cases were treated and survived after timely intervention via alerts. Compared with youth group and middle- aged group, there were significant rise in percenta- ges of paroxysmal atrial tachycardia （16.9%, 26.8% vs. 54.7%） and atrial fibrillation （0%, 0% vs. 8.4%） in aged group, P〈0.05 or （0.01; abnormal percentages of heart rate variability of middle - aged group and aged group were significantly higher than that of youth group （25.0%, 36.8% vs. 5.1%, P〈0.01 both）. Male percent- age of paroxysmal ventricular tachycardia was significantly higher than that of female （81.3% vs. 18.8%, P = 0. 013）. Conclusion： Cardiac remote real-time monitoring system can offer timely alerts for cardiovascular events such as arrhythmia and myocardial ischemia etc., fight for more time for rescuing patients, maximally protect cardi- ac function and improve accuracy of clinical diagnosis.

关 键 词：心电描记术 便携式 远程医学 心律失常 心性 心血管疾病 

分 类 号：R541.7[医药卫生—心血管疾病]