实用心电学杂志2016,Vol.25Issue(3):153-158,164,7.DOI:10.13308/j.issn.2095-9354.2016.03.001
便携式远程多参数监护仪的临床应用价值及准确性评估
Clinical value and accuracy evaluation of portable remote multi-parameter monitoring system
摘要
Abstract
Objective To evaluate the accuracy of portable remote multi-parameter monitor in clinical application for patients with cardiovascular diseases,and to explore its clinical value prelim-inarily.Methods A total of 1 60 inpatients in our hospital were selected as research objects.Ac-cording to blood pressure,oxygen saturation(SaO2 )and ECG results,they were divided into hyper-tension group,hypotension group,normal blood pressure group,low SaO2 group,normal SaO2 group,arrhythmia group,ST-T change group and normal ECG group,each with 20 cases.With portable remote multi-parameter monitor,ECG,blood pressure and SaO2 of all the patients were measured.ECG data obtained from routine 1 2 lead electrocardiograph,blood pressure measured from mercury sphygmomanometer and SaO2 value acquired from blood oxygen saturation meter were regarded as “reference standards”.Correlation analysis was carrid out between the observed results from remote multi-parameter monitor such as arrhythmia,changes of ST segment,blood pressure, SaO2 ,etc.and the reference standards.The diagnostic coincidence rates of multi-parameter monitor and “reference standards”were evaluated.Results The measured results of blood pressure and SaO2 by remote multi-parameter monitor were highly correlated with the reference standards.There was no statistically significant difference between the two sets of data(P >0.05).ECG monitoring had exactly the same ability of identifying arrhythmia and ST-T changes as routine 1 2 lead electro-cardiograph.Conclusion The remote multi-parameter monitor has a high correlation with common-ly-used monitoring instruments.By real-time observation,timely detection and early warning of ab-normalities,effective intervention measures can be taken at an early phase.It has relatively high clinical application value.关键词
心血管疾病/远程多参数监护仪/远程医疗Key words
cardiovascular disease/remote multi-parameter monitor/telemedicine分类
医药卫生引用本文复制引用
郭平,张焱,陈光志,王炎,汪道文..便携式远程多参数监护仪的临床应用价值及准确性评估[J].实用心电学杂志,2016,25(3):153-158,164,7.基金项目
国家自然科学基金面上项目(81570308);湖北省自然科学基金重点项目 ()