大型公立医院心电信息系统在城市医联体中的应用  

Application of ECG Information System in large public hospitals in Urban Medical Union

作　　者：冯艳[1] 蔡晓玉[1] 阿米娜·艾海提[1] 杨奋[1] 张岩[1] 印纹源 Feng Yan;Cai Xiao-yu;Aminaihaiti;Yang Fen;Zhang Yan;Yin Wen-yuan(Department of Electrocardiogram,the People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi Xinjiang 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院心电学科

出　　处：《实用心电学杂志》2020年第1期49-51,共3页Journal of Practical Electrocardiology

摘　　要：作为大型公立医院的新疆维吾尔自治区人民医院(三甲医院)为推行医改,牵头成立了覆盖全新疆的医联体。医院心电学科于2011年率先在新疆建立首家心电网络信息诊断中心,2014年覆盖面由乌鲁木齐扩展至全新疆,组建了中心辐射型和远程会诊型两种网络信息架构,提供统一的心电信息分析、诊断服务。与中心成立前相比,2014年心电学科业务量中,心电危急值检出率增加5.0倍、床边和急诊心电图量增加7.1倍、总工作量增加9.2倍、经济效益提高11.3倍。2018年完成院外远程心电会诊常规心电图235884例,动态心电图9037例,动态血压787例,检出心电危急值4584人次。大型公立医院心电信息系统的建立,与医联体相接轨,使整体心电诊断水平得到大幅提升,从而能及时提供正确的心电图诊断,实现了早期筛查、鉴别,为急症患者及时救治提供了条件。As a large public hospital,the People‘s Hospital of Xinjiang Uygur Autonomous Region(Thirdclass hospital)has taken the lead in setting up a medical union covering Xinjiang.In 2011,the hospital’s electrocardiogram department took the lead in establishing the first ECG(Electrocardiogram)network information diagnosis center in Xinjiang.In 2014,the coverage was extended from Urumqi to Xinjiang.The central radiation type and remote consultation type network information architecture were established to provide services on unified ECG analysis and diagnostic.In 2014,the business volume of ECG was higher compared with that before the establishment of the center:the detection rate of ECG critical value was increased by 5.0 times,the bedside and emergency ECG were increased by 7.1 times,the workload was increased by 9.2 times and the economic benefit was increased by 11.3 times.In 2018,the completed remote ECG consultation outside the hospital was as follows:the cases of conventional ECG,dynamic ECG,dynamic blood pressure and detected cardio emergency value of persontimes were 235884,9037,787 and 4584 respectively.The establishment of the ECG information system in large public hospitals can integrate the medical unions,improving the overall level of ECG diagnosis,as a result,providing assistance for early screening,identification and timely treatment for acute patients.

关 键 词：大型公立医院 心电信息系统 医联体 

分 类 号：R540[医药卫生—心血管疾病]