心脏远程实时监护系统在院前抢救中的应用效果  

Application effect of cardiac remote real-time monitoringsystem in pre-hospital rescue

作　　者：李连海[1] 褚怀德[1] 刘建伟[1] 鲁晓华 钱秋敏 冯静 

机构地区：[1]江苏省昆山市第四人民医院心内科,江苏昆山215331

出　　处：《心血管康复医学杂志》2018年第1期80-82,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:研究心脏远程实时监护系统在院前抢救中的应用效果。方法:选择我院收治的冠心病伴心律失常患者400例,按时间顺序分为常规监护组(按常规方法行床旁12导联心电检查,由医护人员查房时定时查看心电结果)和远程监护组(佩戴心脏远程监护预警机,多通道同步记录检测结果,启动自动传送模式),每组200例。比较两组实时监测的异常结果以及发现患者异常的时间长短,并评价应用效果。结果:两组室性心动过速、室上性心动过速、阵发性心房颤动、房室传导阻滞、束支传导阻滞、室性早搏LownⅠ～Ⅱ级、室性早搏Lown≥Ⅲ级比例比较均无统计学意义(P均>0.05)。与常规监护组相比,远程监护组在10min内发现患者异常的例数(38%比52%)明显增加,在10～30min内(44%比28%)异常比例明显减少(P均<0.05)。结论:心脏远程实时监护系统具有诊断速度快、传输距离远、操作简便等优点,值得临床推广。Objective： To study application effect of cardiac remote realtime monitoring system in prehospital rescue. Methods： A total of 400 patients with coronary heart disease complicated arrhythmia treated in our hospital were selected. They were chronologically and equally divided into routine monitoring group （received routine bed- side 12- lead ECG examination and ECG results were checked regularly by physicians and nurses during bedtime） and remote monitoring group （wore cardiac remote monitoring alert reporter, results were recorded by multi- channel simultaneously and autodelivery mode was activated）. Abnormal results recorded by realtime monitoring and time to identify patient＇s abnormal condition were compared between two groups, and application effect was evaluated. Results： There were no significant difference in percentages of ventricular tachycardia, supraventricular tachycardia, paroxysmal atrial fibrillation, atrioventricular block, bundle branch block, premature ventricular contraction Lown grade Ⅰ～Ⅱ and ≥grade Ⅲ between two groups, P〈0.05 all. Compared with routine monitoring group, there was significant rise in percentage of patient＇ s abnormal condition identified within 10rain （38% vs. 52%）, and significant reductions in percentages of patient＇s abnormal condition identified within 10-30min （44% vs. 28% ） in remote monitoring group, P〈0.05 all. Conclusion： Cardiac remote real-time monitoring system possesses the advantages of rapid diagnosis, long transmission distance and simple operation, etc., which is worth extending.

关 键 词：心律失常 心性 冠心病 心电描记术 远程医学 

分 类 号：R541.7[医药卫生—心血管疾病]