医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
3期
160-160,161
,共2页
远程心电图%广西农村%应用意义
遠程心電圖%廣西農村%應用意義
원정심전도%엄서농촌%응용의의
The remote electrocardiogram (ecg)%Guangxi rural areas%Application significance
目的：发展远程心电图（RemoteECG）诊断是医疗改革后基层医院发展趋势。方法：选择与本院远程心电科合作共30家基层医院所传输数据，包括常规心电图（routineECG）、24小时动态心电图（HOLTER）数据进行分析。结果：2968例ECG以及6105例HOLTER共9073例中（包括合并诊断）正常831例；发生心律失常中，房性早搏7204例、室性早搏4821例；房性心动过速1232例；室性心动过速286例；心房颤动和心房扑动362例；右束支传导阻滞174例；左束支传导阻滞191例；房性逸搏82例；室性逸搏112例；室性逸搏心律60例；交界性逸搏与交界性逸搏心律92例；窦性停搏67例；Ⅲ度房室传导阻滞51例；预激综合征381例；Brugada综合症13例；心肌梗塞193例，心脏起搏器图谱15例；ST-T改变6481例。结论：RECG异常心电检出率高，临床应用价值大，适合广西医疗改革发展趋势。
目的：髮展遠程心電圖（RemoteECG）診斷是醫療改革後基層醫院髮展趨勢。方法：選擇與本院遠程心電科閤作共30傢基層醫院所傳輸數據，包括常規心電圖（routineECG）、24小時動態心電圖（HOLTER）數據進行分析。結果：2968例ECG以及6105例HOLTER共9073例中（包括閤併診斷）正常831例；髮生心律失常中，房性早搏7204例、室性早搏4821例；房性心動過速1232例；室性心動過速286例；心房顫動和心房撲動362例；右束支傳導阻滯174例；左束支傳導阻滯191例；房性逸搏82例；室性逸搏112例；室性逸搏心律60例；交界性逸搏與交界性逸搏心律92例；竇性停搏67例；Ⅲ度房室傳導阻滯51例；預激綜閤徵381例；Brugada綜閤癥13例；心肌梗塞193例，心髒起搏器圖譜15例；ST-T改變6481例。結論：RECG異常心電檢齣率高，臨床應用價值大，適閤廣西醫療改革髮展趨勢。
목적：발전원정심전도（RemoteECG）진단시의료개혁후기층의원발전추세。방법：선택여본원원정심전과합작공30가기층의원소전수수거，포괄상규심전도（routineECG）、24소시동태심전도（HOLTER）수거진행분석。결과：2968례ECG이급6105례HOLTER공9073례중（포괄합병진단）정상831례；발생심률실상중，방성조박7204례、실성조박4821례；방성심동과속1232례；실성심동과속286례；심방전동화심방복동362례；우속지전도조체174례；좌속지전도조체191례；방성일박82례；실성일박112례；실성일박심률60례；교계성일박여교계성일박심률92례；두성정박67례；Ⅲ도방실전도조체51례；예격종합정381례；Brugada종합증13례；심기경새193례，심장기박기도보15례；ST-T개변6481례。결론：RECG이상심전검출솔고，림상응용개치대，괄합엄서의료개혁발전추세。
Objective Development of Remote electrocardiogram (Remote ECG) diagnosis is development trend of basic-level hospitals after medical reform.Methods Select 30 grass-roots hospitals to transmit data, including conventional electrocardiogram (routine ECG), 24-hour dynamic electrocardiogram (HOLTER) were analyzed.Results 2968 cases, 2968 cases of ECG and HOLTER, a total of 9073 cases, 831 cases of normal; Arrhythmia occurred in room 7204 cases of premature beat, ventricular premature beat 4821 cases; Room tachycardia 1232 cases; Ventricular tachycardia 286 cases; 362 cases of atrial fibrillation and atrial flutter; Right bundle branch block 174 cases; 191 cases of left bundle branch block; Room sex escape beat 82 cases; 112 cases of ventricular escape beat; Ventricular escape cardiac rhythm of 60 cases; Border escape beat and escape border sex cardiac rhythm of the heart in 92 cases; 67 cases of sinus cardiac arrest; III degree atrioventricular block 51 cases; 381 cases of pre-excitation syndrome syndrome; 13 cases of Brugada syndrome; 193 cases of myocardial infarction, cardiac pacemaker map 15 cases; ST -t change in 6481 cases.Conclusions RECG abnormal ecg detection rate is high, the clinical value of large, suitable for health care reform in guangxi development trend.
