可穿戴式设备uCare与动态心电图检测的临床对比研究

Clinical comparative study of wearable product u Care and Holter

目的:对比分析可穿戴式设备u Care和动态心电图的心电监测结果,探讨u Care在社区心脏康复中的应用价值。方法:选取心血管病患者16例(56—84岁),同时佩戴u Care和Holter设备,将u Care设备获取的各项心电信息(心率、心律失常及ST段改变)与Holter进行对比。结果:(1)15例患者u Care和Holter测得每小时平均心率结果显示两者间差异无显著性意义(P>0.05)。(2)1例患者出现频发室上性早搏和室上性连发,1例患者出现频发室性早搏,u Care和Holte测得结果显示两者间差异无显著性意义(P>0.05)。2例患者出现心房纤颤,1例患者出现ST段异常,u Care和Holter检测结果均一致。结论:u Care与Holter心电检测结果基本一致,u Care可以较为准确地监控患者的心电情况,保障社区心脏康复的有效性及安全性。

Objective： Contrastive analysis of wearable product u Care and Holter in electrocardiographic monitoring, to demonstrate the clinical value of u Care in community cardiac rehabilitation.Method： A total of 16 patients aged from 45 to 75 years with cardiovascular disease underwent u Care and Holter examination simultaneously. The heart rate fluctuation, cardiac rhythm disturbances and ST- segment depression episodes during the examination were recorded and compared between u Care and Holter examination.Result：（1） No significant difference in heart rate fluctuation was observed between u Care and Holter examination（P〈0.05）.（2） One subject had frequent supraventricular premature beat and successive supraventricular extrasystoles, one subject had frequent ventricular premature beat, two subjects had auricular fibrillation, and one subject had ST-segment depression. No significant difference was found between u Care and Holter examination（P〈0.05）.Conclusion： The u Care and Holter examination have similar accuracy. The u Care can be used in community cardiac rehabilitation.