基于互联网云平台的远程心电会诊网络系统的应用

Application of the remote ECG consultation network system based on internet cloud platform

目的分析基于互联网云平台的远程心电会诊网络系统的应用效果,以进一步提高医院心电图诊断水平和受检人员满意度。方法回顾性分析福建省泉州市第一医院于2018年3月至2020年3月收集到的心电图相关数据资料,按照是否建设并应用了基于互联网云平台的远程心电会诊网络系统分为建设前组(2018年3月至2019年3月)与建设后组(2019年4月至2020年3月),对比两个不同时间段下的心电图上传量、会诊数量、异常心电图误诊率及受检人员的满意度。结果建设后组与建设前组相比心电图全年上传量及每月上传量、心电图全年会诊量及每月会诊量相比均较高,组间差异具有统计学意义(P<0.05)。建设后组与建设前组相比心肌缺血、心肌梗死、心房扑动、心房颤动、起搏心电图、心房异常及心室肥厚的合计误诊率较低,组间差异具有统计学意义(P<0.05)。建设后组与建设前组相比受检人员的满意度较高,组间差异具有统计学意义(P<0.05)。结论基于互联网云平台的远程心电会诊网络系统可以明显提高心电图上传量与会诊数量,同时降低各类异常心电图误诊率,提高受检人员的满意度。

Objective To further improve the ECG diagnosis level of hospitals and examinee satisfaction by analyzing the effect of the remote ECG consultation network system application,which is based on the Internet cloud platform.Methods This paper retrospectively analyzes the ECG-related data,which is collected by the First Hospital of Quanzhou City,Fujian Province from March 2018 to March 2020,divides it into the pre-construction group(March 2018 to March 2019)and the post-construction group(April 2019 to March 2020)under the criterion whether the remote ECG consultation network system based on the Internet cloud platform has been built and applied.We also compare the number of ECG uploads,the number of consultations,the misdiagnosis rate of abnormal ECG as well as examinee satisfaction during the two different time periods.Results Compared with the pre-construction group,the data of the post-construction group shows that both the annual and monthly ECG upload and consultation volume are higher and the difference has a statistically significant(P<0.05).Moreover,the total misdiagnosis rate of myocardial ischemia,myocardial infarction,atrial flutter,atrial fibrillation,pacing ECG,atrial abnormalities and ventricular hypertrophy is lower than that in the pre-construction group,and the difference has a statistically significant(P<0.05).The level of examinee contentment is higher in the pre-construction group than that in the post-construction group,and the difference has a statistically significant(P<0.05).Conclusions The remote ECG consultation network system based on the Internet cloud platform can significantly increase the amount of ECG uploads and the number of consultations,reduce the misdiagnosis rate of various types of abnormal ECG and improve examinee satisfaction.