远程心电监测网络系统在区域性医疗中心的应用及效果评价  

Application and effect evaluation of remote ECG monitoring network system in regional medical center

作　　者：李厚荣[1] 杜国伟[1] 殷波[1] 向娟[1] 李倩[1] 金海燕[1] 冉亮[1] Li Hou-rong;Du Guo-wei;Yin Bo;Xiang Juan;Li Qian;Jin Hai-yan;Ran Liang(Department of Cardiac Electrophysiology, Chongqing Three Gorges Central Hospital, Chongqing 404000,China)

机构地区：[1]重庆三峡中心医院心电生理学科,重庆404000

出　　处：《实用心电学杂志》2016年第3期159-164,共6页Journal of Practical Electrocardiology

基　　金：重庆市万州区科技计划项目(201503017)

摘　　要：基于渝东北片区医疗资源匮乏且分布不均、基层医生心电图诊断水平较低的现状,重庆三峡中心医院于2014年6月采取"1+X"模式,以"四统一""一共享"为核心,建设了区域性远程心电监测网络诊断-会诊中心,方便区域内的心血管病患者在不同级别的医疗机构都能享受到同质化的心电检查与治疗。本文介绍了该会诊网络的组织及技术架构、工作体系、运行机制与应用成效,分享了系统建设运营的经验与建议,并展望了系统其他应用的深度开发、基于云计算架构的改造与社区居民智慧健康医疗体系的实现。In view of the status that medical resources are deficient and spatially uneven in the northeast area of Chongqing and the ECG diagnostic ability of primary care doctors is relatively low,Chongqing Three Gorges Central Hospital constructed regional remote ECG monitoring network center of diagnosis and consultation with the core of “ four unifications” and “ one in share” in the mode of “1 + X” in June 2014. It facilitates regional patients with cardiovascular diseases to enjoy homogeneous ECG examination and treatment in medical institutions at different levels. This paper introduces the organizational(technology) structure, working system, operating mechanism and application effect of the consultation network, and shares experience and suggestions about its construction and operation.It also anticipates further development of its other applications, structure transformation based on cloud computing and the realization of wisdom healthcare system for community residents.

关 键 词：远程心电监测 心电图远程会诊中心 心电网络 医疗协作联合体 区域性医疗 心电图 

分 类 号：R540.41[医药卫生—心血管疾病]