互联网技术对心房颤动患者华法林抗凝治疗的影响分析

Influence analysis of internet technology on warfarin anticoagulation for patients with atrial fibrillation

目的探讨利用互联网技术对心房颤动抗凝治疗有效性的影响。方法我院就诊的心房颤动患者126例,按随机数字法分为对照组61例,全病程随访干预组65例。两组均采用华法林抗凝治疗,对照组采用传统门诊随访,全病程干预组采用互联网技术支持下的随访。比较两组治疗窗内的时间、华法林相关急诊就诊率、血栓栓塞事件发生率、出血事件发生率、心室率控制率、国际标准化比值达标率,以及再入院率等。结果全病程随访干预组治疗窗内时间明显高于对照组,出血事件发生率、栓塞事件发生率低于对照组,节律控制、再入院率明显优于对照组,差异均有统计学意义(P<0.05)。结论心房颤动患者采用全病程随访干预后,有效提高了华法林用药的达标率,有利于改善患者症状,值得推广。

Objective To explore the effect of internet technology on the effectiveness of anticoagulation therapy for atrial fibrillation.Methods One hundred and twenty-six patients with atrial fibrillation were selected.The patients were divided into a control group(n=61)and a whole course follow-up intervention group(n=65)by using random number method.Both groups received warfarin anticoagulant therapy.The control group received traditional outpatient follow-up,and the whole course follow-up intervention group received the follow-up supported by internet technology.The time in therapeutic range(TTR),the rate of warfarin-related emergency department visits,the incidence of thromboembolic events,the incidence of bleeding events,the rate of ventricular rate control,the international normalize ratio(INR)compliance rate,and the rate of readmission were compared between the two groups.Results The TTR of the whole course follow-up intervention group was significantly higher than that of the control group.The incidence of bleeding events and embolization events in the whole course follow-up intervention group were significantly lower than those in the control group.At the same time,in terms of rhythm control and admission rate,the whole course follow-up intervention group was significantly better than the control group.All differences were statistically significant(P<0.05).Conclusion After the whole course follow-up intervention for patients with atrial fibrillation,the compliance rate of warfarin medication in these patients has been effectively improved.It is conducive to improve the symptoms of the patients.It is worthy of promotion.