CAJ | 학술논문

目的：探讨基层医疗机构心电图远程会诊的价值。方法：对湖北省监利县不同级别医疗机构的远程心电图会诊资料进行统计分析。结果：（1）该地区县级医院心电图会诊病例共1334例，阳性率41.00％（547／1334），异常心电图类型发生率较高的前三种依次为心律失常（27.29％）、左心室肥厚（9.15％）、ST-T 改变（2.62％）；（2）各乡村卫生室会诊病例共723例，阳性率55.19％（399／723），异常心电图类型发生率较高的前三种依次为心律失常（34.02％）、ST-T 改变（11.07％）、左心室肥厚（5.39％）。结论：远程心电图会诊简便易行，可提高缺乏心电图设备、人才的农村地区的一过性异常心电事件的检出率，便于早期治疗，改善预后，值得推广。
목적：탐토기층의료궤구심전도원정회진적개치。방법：대호북성감리현불동급별의료궤구적원정심전도회진자료진행통계분석。결과：（1）해지구현급의원심전도회진병례공1334례，양성솔41.00％（547／1334），이상심전도류형발생솔교고적전삼충의차위심률실상（27.29％）、좌심실비후（9.15％）、ST-T 개변（2.62％）；（2）각향촌위생실회진병례공723례，양성솔55.19％（399／723），이상심전도류형발생솔교고적전삼충의차위심률실상（34.02％）、ST-T 개변（11.07％）、좌심실비후（5.39％）。결론：원정심전도회진간편역행，가제고결핍심전도설비、인재적농촌지구적일과성이상심전사건적검출솔，편우조기치료，개선예후，치득추엄。
Objective:To explore the clinical value of remote ECG consultation for primary medical institutions. Methods:Remote ECG consultation data for medical institutions of different levels in Hubei Jianli county were sta-tistically analyzed.Results:In county hospitals of this area,there were 1334 cases of ECG consultation,the positive rate was 41.00% (547/1334),and the three abnormal ECG types with highest incidence rate were arrhythmia (27.29%),left ventricular hypertrophy (LVH,9.15%)and ST-T change (2.62%)in order;in rural health rooms of this area,there were 723 cases of ECG consultation,the positive rate was 55.19%(399/723),and the three ab-normal ECG types with highest incidence rate were arrhythmia (34.02%),ST-T change (11.07%)and LVH (5.39%)in order.Conclusion:The remote ECG consultation is easy to perform.It can rise the detection rate of transient abnormal ECG events in rural area,where is lack of ECG equipment and personnel,so it is worthy of ex-tending.