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网络心电图在临床心血管疾病快速诊断中应用与评价 被引量:1

Application and assessment of electrocardiogram network in clinical fast diagnosis of cardiovascular diseases
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摘要 目的:探讨网络心电图应用在临床中的价值。方法利用手持心电在院内各科室采集心电信息,通过院内心电网络传输至心电图室,心电图室快速做出相应诊断,院内各科室可通过网络调阅心电图结果。网络组设为A组,对照组设为B组。A组共5 612例,B组共8 424例,在2组中筛选出心肌梗死组、心肌缺血组、心律失常组。将心电图采集时间分别划分为30 min内,2 h内,6 h内及24 h内。然后对各组数据进行比较分析。结果:30 min内网络组除陈旧性心肌梗死与慢性冠状动脉供血不足外均有统计学意义;2 h内网络组急性心肌梗死、期前收缩、室上速、房颤、房扑均有统计学意义;6 h内网络组期前收缩、房颤有统计学意义。24内对照组急性心肌梗死有统计学意义。结论:网络心电图应用于临床时效性强,检出阳性率高,能降低心肌梗死、心律失常的死亡率、提高治愈率,改善患者的预后效果及生活质量。 Objective: To explore the clinical value of electrocardiogram network application. Methods: Portable electrocardiogram was used to collect information. The electrocardiogram data was transmitted through network between each department and electrocardiogram department. Quick reaction to the electrocardiogram could be obtained and the result be shared in each department through network. Two groups were set up: a network group( group A,n = 5 612) and a control group( group B,n = 8 424). Then myocardial infarction,myocardial ischemia,and abnormal heart rate cases were screened from these two groups respectively. The time of electrocardiogram collection was set as within 30 min,2h,6h and 24 h. Comparison was then conducted between these groups. The analysis tool adopted was SPSS13. 0 software. Results: Statistics were significant for the 30 min network group except for old myocardial infarction and chronic coronary insufficient blood supply. Statistical significance also presented in the 2h network group for acute myocardial infarction,proiosystole,supra-ventricular tachycardia,atrial fibrillation,and atrial flutter. There was statistical significance in the 6h network group for proiosystole and atrial fibrillation. As for the 24 h control group,acute myocardial infarction had statistical significance as well. Conclusion:Clinical application of electrocardiogram network possesses the advantage of time effectiveness as well as high positive detection rate. It may in great measure contribute to the reduction of mortality from myocardial infarction and arythmia,and improve cure rate and living quality of patients.
作者 时慧 孟艳红
出处 《淮海医药》 CAS 2016年第4期387-389,共3页 Journal of Huaihai Medicine
关键词 心电网络 心肌梗死 冠状动脉供血不足 心律失常 临床价值 Electrocardiogram network Myocardial infarction Coronary insufficient blood supply Arythmia Clinical value
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  • 1Antman E M, Anbe D T, Arm strong P W, et al. ACC/AHA guide lines for the management of patients with ST elevation myocardial infarc- tion[J]. Circulation, 2004,110 : 588-636. 被引量:1
  • 2Fayn J, Rubel P, Pahlm O,et al. Improvement of the detection of my- ocardial ischemia thanks to information technologies[J]. Int J Cardi- ol,2007,120:172-180. 被引量:1
  • 3Adams G L, Cam plea P T, Adams J M, et al. Effectiveness of prehos- pital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction[J]. Am J Cardio1,2006,98 : 1 160-1 164. 被引量:1
  • 4Terkelsen C J, Norgaard B L, Lassen J F, et al. Prehospital evaluation in ST-elevation myocardial infarction patients treated with primary percutaneous coronary intervention[J]. Eleetroeardiol, 2005,38 : 187- 192. 被引量:1
  • 5Drew B J,Dempsey E D,Joo T H,et al. Pre-hospital synthesized 12lead ECG isehemia monitoring with trans-telephonic transmission in acute coronary syndromes pilot study results of the ST SMART trial[J]. Eleetrocardiol, 2004,37 : 214-221. 被引量:1
  • 6Drew B J, Sommargren C E,Schindler D M ,et.al. Novel electrocar- diogram configurations and transmission procedures in the prehospi- tal setting effect on ischemia and arrhythmia determination[J]. Elec- trocardiol, 2006,39 : S 157-S 160. 被引量:1
  • 7Ting H H,Rihal C S,Gersh B J,et al. Regional system s of care to optimize timeliness of reperfusion therapy for ST-elevation myoear- dial infarction:the mayo clinic STEM I protocol[J]. Circulation, 2007,116 : 729-736. 被引量:1
  • 8Le May M R,So D Y,Dionne R,et al. A city wide protocol for prima- ry PC I in ST-segment elevation myocardial infarction[J]. N Engl J Med, 2008,358 : 231-240. 被引量:1
  • 9Antman E M ,Anbe D T ,Armstrong P W,et ol. ACC/AHA guidelinesfor the management of patients with ST-elevation myocardial infarc- tion[J]. Circulation, 2004,110 : 588-636. 被引量:1
  • 10Fayn J, Rubel P, Pahlm O,et al. Improvement of the detection of my- ocardial ischemia thanks to information technologies[J]. Int J Cardi- ol,2007,120:172-180. 被引量:1

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