区域性心电远程会诊中心在医院内网中的应用  

Application of regional ECG remote consultation center in hospital intranet

作　　者：张淑桂 周铜霞 吴业新 刘志英 Zhang Shu-gui;Zhou Tong-xia;Wu Ye-xin;Liu Zhi-ying(Department of Electrocardiogram,Zibo Municipal Hospital,Zibo Shandong 255400,China)

机构地区：[1]淄博市市立医院心电图室,山东淄博255400

出　　处：《实用心电学杂志》2020年第6期386-390,共5页Journal of Practical Electrocardiology

基　　金：北京医学奖励基金会课题(YXJL-2019-0688-0035)。

摘　　要：目的探讨区域性心电远程会诊中心在医院内部各临床科室的应用效果。方法回顾性分析区域性心电远程会诊中心成立后医院内部各临床科室采集的心电图数据,统计2013—2019年心电图工作量、异常心电图检出率及常见异常心电图类型检出率;统计2013—2019年医院内网心电图危急值患者例数;比较心电远程会诊中心成立前后心电图诊断报告准确率。结果2013—2019年,医院内网异常心电图检出率为59.08%,异常心电图中,ST及T波改变检出率38.67%、完全性右束支传导阻滞检出率7.73%、房性早搏检出率4.28%、心房颤动检出率3.99%;2013—2019年,医院内网心电图危急值患者累计643例;心电图会诊中心成立后,2013—2019年心电图诊断报告准确率均显著高于2012年(P<0.01),且心电图诊断报告准确率呈逐渐上升趋势(P<0.01)。结论区域性心电远程会诊中心可通过网络为医院各临床科室快捷提供心电图诊断,及早发现心电图危急值患者,使患者及时获得诊治。同时,区域性心电远程会诊中心有助于提高心电工作者的业务能力,提高心电图诊断报告准确率。Objective To explore the application effect of regional ECG remote consultation center in hospital internal clinical departments.Methods Retrospective analysis was performed on the ECG data collected by hospital internal clinical departments after the establishment of the regional ECG remote consultation center.Within a statistical period of 2013-2019,the statistics of ECG workload,detection rate of abnormal ECG and different types of commonly-seen abnormal ECG were obtained;the number of the patients with ECG critical values in hospital intranet was counted.The accuracy rate of ECG diagnosis report was made a comparison before and after the establishment of the ECG remote consultation center.Results From 2013 to 2019,the detection rate of abnormal ECGs in hospital intranet is 59.08%,among which there is 38.67%of ST and T-wave changes,7.73%of complete right bundle branch block,4.28%of atrial premature beats,and 3.99%of atrial fibrillation.During the period of 2013-2019,the accumulative total patients with ECG critical values in hospital intranet reach 643 cases.After the establishment of the ECG consultation center,the accuracy rates of ECG diagnosis reports from 2013 to 2019 are all significantly higher than that in 2012(P<0.01),and the accuracy rate of ECG diagnosis report shows a progressively upward trend(P<0.01).Conclusion Regional ECG remote consultation center can provide rapid ECG diagnosis for each clinical department by network,identify the patients with ECG critical values in an early phase,and offer diagnosis and treatment in time.Additionally,the center helps to enhance the professional proficiency of ECG clinicians and improve the accuracy rate of ECG diagnosis report.

关 键 词：区域性心电远程会诊中心 异常心电图 心电图 诊断报告 

分 类 号：R540.41[医药卫生—心血管疾病]