【摘要】 目的:研究心脏远程实时监护系统在院前抢救中的应用效果。方法:选择我院收治的冠心病伴心律失常患者400例,按时间顺序分为常规监护组(按常规方法行床旁12导联心电检查,由医护人员查房时定时查看心电结果)和远程监护组(佩戴心脏远程监护预警机,多通道同步记录检测结果,启动自动传送模式),每组200例。比较两组实时监测的异常结果以及发现患者异常的时间长短,并评价应用效果。结果:两组室性心动过速、室上性心动过速、阵发性心房颤动、房室传导阻滞、束支传导阻滞、室性早搏LownⅠ～Ⅱ级、室性早搏Lown≥Ⅲ级比例比较均无统计学意义(P均>0.05)。与常规监护组相比,远程监护组在10min内发现患者异常的例数(38%比52%)明显增加,在10～30min内(44%比28%)异常比例明显减少(P均<0.05)。结论:心脏远程实时监护系统具有诊断速度快、传输距离远、操作简便等优点,值得临床推广。更多还原

【Abstract】 Objective:To study application effect of cardiac remote real-time monitoring system in pre-hospital rescue.Methods:A total of 400 patients with coronary heart disease complicated arrhythmia treated in our hospital were selected.They were chronologically and equally divided into routine monitoring group(received routine bedside 12-lead ECG examination and ECG results were checked regularly by physicians and nurses during bedtime)and remote monitoring group(wore cardiac remote monitoring alert reporter,results were recorded by multi-channel simultaneously and auto-delivery mode was activated).Abnormal results recorded by real-time monitoring and time to identify patient’s abnormal condition were compared between two groups,and application effect was evaluated.Results:There were no significant difference in percentages of ventricular tachycardia,supraventricular tachycardia,paroxysmal atrial fibrillation,atrioventricular block,bundle branch block,premature ventricular contraction Lown grade I~II and ≥grade III between two groups,P>0.05 all.Compared with routine monitoring group,there was significant rise in percentage of patient’s abnormal condition identified within 10 min(38% vs.52%),and significant reductions in percentages of patient’s abnormal condition identified within 10~30 min(44% vs.28%)in remote monitoring group,P<0.05 all.Conclusion:Cardiac remote real-time monitoring system possesses the advantages of rapid diagnosis,long transmission distance and simple operation,etc.,which is worth extending.更多还原