宝安区中心医院与所在社区医疗体系心电和血压监测系统的双向应用研究

Two-way application research of ECG and blood pressure monitoring system of Central Hospital of Baoan District and community medical system

目的分析宝安区中心医院与所在社区医疗体系心电和血压监测系统的双向应用价值。方法选取2015年9月~2017年6月于我院及所在社区医疗服务中心就诊的疑有高血压或心律失常患者3000例。所有患者均行心电图与血压监测系统评估病情,并比较单独心电血压监测系统(对照组)与心电联合血压监测系统双向(观察组)的应用效果。结果观察组的高血压、心律失常检出率均明显高于对照组,差异有统计学意义(P<0.05)。观察组的恶性高血压、严重心律失常、心肌梗死发生率均明显低于对照组,差异有统计学意义(P<0.05)。观察组的致残率及死亡率分别为0.87%、0.37%,均明显低于对照组的3.40%、1.53%,差异有统计学意义(P<0.05)。结论宝安区中心医院与所在社区医疗体系心电和血压监测系统的双向应用效果明显,可有效提高高血压与心律失常的检出率,同时有利于降低恶性高血压、严重心律失常、心肌梗死发生率,且有效降低致残率与死亡率。

Objective To analyze the two-way application value of ECG and blood pressure monitoring system of our hospital and community medical system.Methods All of 3000 suspected patients with hypertension or arrhythmias were selected from September 2015 to June 2017.All patients were performed evaluating state of an illness using the electrocardiogram(ECG)and blood pressure monitoring system,and the application effect of separately ECG or blood pressure monitoring system(control group)and ECG combined with blood pressure monitoring system(observation group)was compared.Results The detection rate of hypertension and arrhythmia in the observation group was higher than those of the the control group,and the difference was statistically significant(P<0.05).The incidence of malignant hypertension,severe arrhythmia and myocardial infarction in the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).The disability rate and mortality rate of the observation group was 0.87%,0.37%respectively,which was significantly lower than that of the control group(3.40%,1.53%),and the difference was statistically significant(P<0.05).Conclusion Two-way application effect of ECG and blood pressure monitoring system of Central Hospital of Baoan District and community medical system is obvious,which can effectively improve the detection rate of hypertension and arrhythmia,and at the same time reduce the incidence of malignant hypertension,severe arrhythmia and myocardial infarction,and effectively reduce the morbidity and mortality.