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目的探讨区级远程心电会诊服务体系的临床应用价值。方法选取远程心电会诊患者312例,对照组患者308例,观察对比两组患者诊断效率、治疗及时性、预后及相关医疗费用等情况。结果比较两组患者在心电诊断准确率、发病到确诊时间、发病到接受正规治疗时间、患者好转率、确诊所需医疗费用、到医疗中心就诊次数等指标,差异有统计学意义(P<0.05,P<0.01),死亡率比较,差异无统计学意义(P>0.05)。结论区级远程心电会诊服务体系将全区心电资源进行合理的再分配,大大提高了大型医疗中心和社区的心电诊断水平和工作效率,减轻了患者的医疗负担,具有重要的临床价值、经济价值及社会价值,值得推广应用。
Objective To explore the clinical application value of district-based remote electrocardiogram consultation service system. Methods A total of 312 telepathic patients and 308 control patients were selected. The diagnostic efficiency, timeliness of treatment, prognosis and related medical costs were compared between the two groups. Results The two groups of patients in the diagnostic accuracy of ECG, the onset to the diagnosis time, onset to receive regular treatment time, the rate of improvement of patients, the required medical costs, the number of visits to the medical center and other indicators, the difference was statistically significant (P <0.05 , P <0.01). There was no significant difference in mortality rate between the two groups (P> 0.05). Conclusion The district-based remote ECG consultation service system reasonably redistributed ECG resources in the whole district, greatly improving the diagnosis level and efficiency of ECG in large-scale medical centers and communities, reducing the patients’ medical burden and having important clinical value , Economic value and social value, it is worth promoting application.