5G远程超声检查在网络远程会诊及边远牧区义诊中的应用探索  

Application and exploration of 5G remote robotic ultrasound examination in network remote consultation and free consultation in border and pastoral areas

作　　者：张其杰 杨杰 阿衣努尔·买买提力 米力努尔·艾尼瓦尔 胡轩楠 巧丽潘·玉奴 古丽努尔·阿不力米提 伍利 陈萱 叶新华 宋宁宏 ZHANG Qijie;YANG Jie;MAIMAITILI Ayinuer;AINIWAER Milinuer;HU Xuannan;YUNU Qiaolipan;ABULIMITI Gulinuer;WU Li;CHEN Xuan;YE Xinhua;SONG Ninghong(Department of Urology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院江苏省人民医院泌尿外科,南京市210029 [2]南京医科大学第一附属医院,江苏省人民医院超声诊断科,南京市210029 [3]新疆克州人民医院泌尿外科 [4]新疆克州人民医院超声诊断科 [5]新疆克州人民医院科研教学部转化医学中心 [6]新疆克州人民医院模式交互型互联网医院 [7]深圳华大基因科技有限公司 [8]深圳华大智造云影医疗科技有限公司

出　　处：《临床超声医学杂志》2023年第2期85-89,共5页Journal of Clinical Ultrasound in Medicine

基　　金：国家自然科学基金项目(82071638);新疆克孜勒苏柯尔克孜自治州科技攻关重点项目(科技援疆项目)。

摘　　要：目的探讨5G远程超声检查在新疆维吾尔自治区克孜勒苏柯尔克孜自治州(以下简称克州)地区网络远程会诊及边远牧区义诊中的应用流程及模式创新。方法选取行5G远程超声检查会诊患者356例,其中江苏省南京市至克州超远程会诊114例,克州区域内远程会诊185例,克州边远牧区远程义诊57例,另选同期于我院门诊行传统床旁超声检查患者156例,比较5G远程超声与传统床旁超声在检查项目、信号传输参数及医患双方应用体验方面的差异。结果5G远程超声与传统床旁超声在检查项目构成比方面比较差异无统计学意义。与超远程会诊和远程义诊比较,远程会诊的信号传输带宽更高,双向延迟和丢包率均更低,差异均有统计学意义(均P<0.001)。医师对超远程会诊和远程义诊的操作满意度、图像满意度和交流满意度评分均低于传统床旁超声(均P<0.05),而远程会诊与传统床旁超声比较差异均无统计学意义。患者对超远程会诊的接受度评分与传统床旁超声比较差异无统计学意义;与传统床旁超声比较,患者在5G远程超声检查中紧张度评分较低(P<0.05),但后者探头压迫舒适度和隐私保护满意度评分均更高(均P<0.05)。结论初步成功建立5G远程超声检查的临床应用体系,虽目前仍存在通信技术和临床应用方面的不足,但有利于促进我国东部发达地区优质医疗资源向边疆地区有效下沉,是响应国家卫生健康委员会医疗体制改革的一次可贵实践与模式创新。Objective To explore the application process and model innovation of 5G remote robotic ultrasound examination in network remote consultation and free consultation in border and pastoral areas in Kezhou,Xinjiang.Methods A total of 356 cases(114 cases of ultra-remote network consultation from Nanjing,Jiangsu to Kezhou,Xinjiang,185 cases of remote network consultation in the Kezhou area,and 57 cases of remote free consultation in the Kezhou border and pastoral areas)of 5G remote ultrasound examination carried out in our hospital and 156 cases of outpatient bedside ultrasound examination in our hospital were retrospectively analyzed.The differences of examination items,signal transmission parameters,and application experiences of both doctors and patients between 5G remote and traditional bedside ultrasound were compared.Results No significant difference in the composition of examination items was observed between 5G remote and traditional bedside ultrasound examination.Compared with ultra-remote consultation and remote free consultation,higher signal transmission bandwidth,lower delay and packet loss rate were observed in remote consultation(all P<0.001).For doctors,the operation satisfaction,image satisfaction and communication satisfaction of ultra-remote ultrasound and remote free consultation were significantly lower than those of traditional bedside ultrasound(all P<0.05),while no obvious difference found between remote ultrasound and traditional bedside ultrasound.For patients,there was no significant difference in acceptance between ultraremote consultation and traditional bedside ultrasound.Compared with traditional bedside ultrasound,patients were more nervous during remote robotic ultrasound examination,but the latter had more advantages in probe compression comfort and privacy protection satisfaction,the differences were statistically significant(all P<0.05).Conclusion The clinical application system of 5G remote robotic ultrasound examination has been preliminarily established.Although there are still sh

关 键 词：远程超声 机器人 5G 网络远程会诊 边远牧区义诊 优质医疗资源下沉 

分 类 号：R445.1[医药卫生—影像医学与核医学]