社区血液透析患者基于远程医疗平台的区域协同管理

Telemedicine-facilitated intra-regional collaborative management for patients on hemodialysis in the community

目的设计血液透析远程医疗平台,探讨在社区血液透析患者中的应用效果。方法构建区域内远程医疗平台,应用平台对34例社区维持性血液透析患者进行管理,包括远程监控、远程会诊、双向转诊以及质量控制。比较干预前及干预后各3个月患者的血液透析质量及并发症情况。结果实施后患者的体质量控制率、尿素清除指数达标率及血红蛋白达标率显著高于实施前,透析中低血压、低血糖发生率显著低于实施前(均P<0.05)。结论基于血液透析远程医疗平台的区域协同管理可降低血液透析患者透析中并发症发生率,提升透析质量。

Objective To design a telemedicine platform in support of hemodialysis and to explore the effect in patients on hemodialysis in the community.Methods An intra-regional telemedicine platform was designed and utilized in 34 patients on maintenance hemodialysis in the community.It combines functions for remote monitoring,distance consulting,community-hospital bilateral referral and quality control.The quality of hemodialysis and complications were compared before and 3 months after the implementation.Results After the implementation,rate of body weight control,the qualified rates of urea clearance index and hemoglobin were significantly higher,while the rates of intradialytic hypotension and hypoglycemia were significantly lower than the baseline values(P<0.05 for all).Conclusion Application of the telemedicine platform in support of remote hemodialysis in the community can reduce intradialytic complications and improve quality of hemodialysis.