心脏康复基于安卓平台对冠心病患者院外信息化管理的作用研究

The Study on the Functionality of Android-Based Cardiac Rehabilitation on Coronary Heart Disease Patients' Information Management Beyond the Hospital

目的:探讨心脏康复基于安卓平台对冠心病患者院外信息化管理的应用效果。方法:选取门诊病情稳定的冠心病患者100例,按随机数字表法分为对照组和康复组,每组50例。两组均给予药物治疗,康复组在药物治疗的基础上进行基于安卓平台信息化管理的院外心脏康复,连续干预12个月,比较两组冠心病危险因素控制情况、血液生化指标、心脏功能指标以及心脏事件发生率。结果:干预12个月后,康复组冠心病危险因素控制优于对照组(P<0.05);康复组TC、LDL-C水平明显低于对照组,差异均有统计学意义(P<0.05);左室射血分数(LVEF)明显高于对照组,差异有统计学意义(P<0.05);两组舒张功能指标早期峰(E)、晚期峰(A)、E/A以及左室舒张末期内径(LVEDD)比较,差异均无统计学意义(P>0.05);康复组静息心率降低且优于对照组,心脏事件发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论:心脏康复基于安卓平台对冠心病患者院外信息化管理,可提高冠心病患者自我管理能力,有效控制冠心病危险因素,能改善患者的心脏功能并降低心脏事件发生率。

Objective:To discuss the application effect of Android-based cardiac rehabilitation on coronary heart disease patients’ information management beyond the hospital.Method:100 patients with stable CHD were selected and divided into control group and recovery group according to the random number table method. Both groups were given medication,the recovery group was given information management beyond the hospital by Android-based cardiac rehabilitation on the basis of medication,as a consecutive 12 months’ intervention.The risk control for CHD,biochemical parameters of blood,heart functional parameters and major cardiovascular events were recorded and compared.Result:After 12 months of intervention,the risk control of CHD in the recovery group were better than those in the control group(P<0.05).The TC and LDL-C levels in the recovery group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).And the left ventricular ejection fraction(LVEF)was significantly higher than that in the control group,the difference was statistically significant(P<0.05).While the early peak(E),late peak(A),E/A and left ventricular end diastolic diameter(LVEDD)in the two groups were not statistically significant(P>0.05),the resting heart rate of the recovery group was reduced and better than that in the control group and possibility of major cardiovascular events in the recovery group was obviously lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Android-based cardiac rehabilitation on coronary heart disease patients’ information management beyond the hospital can enhance the self-management of CHD patients,effectively control the risk factors of CHD and improve patients’ cardiac function,reduce incidence of cardiac events.