移动健康策略在心血管疾病患者中的应用及价值探讨

　　[摘要] 目的 研究移动健康策略在心血管疾病患者中的應用价值。 方法 选取2014年3月～2015年3月本社区确诊的冠心病患者86例，按照随机数字表法分为观察组与对照组，每组43例。对照组患者予以常规治疗，观察组患者则在对照组的基础上予以移动健康策略干预。对所有患者均进行为期2年的随访，分别对比两组患者治疗前后心绞痛发生率、收缩压、舒张压、心率水平、心血管突发事件发生情况、治疗前后心功能指标水平。 结果 观察组患者治疗后心绞痛发生率为6.98%（3/43），显著低于对照组的23.26%（10/43）（P<0.05）。观察组患者治疗后收缩压、舒张压、心率水平分别为（130.5±1.8）mmHg、（80.4±5.1）mmHg、（67.2±9.4）次/min，均显著低于对照组的（146.5±2.2）mmHg、（91.2±6.2）mmHg、（84.2±9.0）次/min（P均<0.05）。治疗后观察组患者心血管突发事件发生率为9.30%（4/43），显著低于对照组的27.91%（12/41）（P<0.05）。两组治疗前心脏LVEF及VE/VA对比差异无统计学意义，治疗后观察组LVEF及VE/VA均显著高于对照组，差异均有统计学意义（P均<0.05）。 结论 手机短信和微信方面的移动健康策略在心血管疾病患者中的应用价值较高，可有效改善患者血压及心率，同时降低心血管突发事件发生率，改善心功能。
　　[关键词] 心血管疾病；移动健康策略；血压；心率；心血管突发事件7
　　[中图分类号] R54 [文献标识码] B [文章编号] 1673-9701（2018）08-0082-04
　　Discussion on the application of mobile health strategy in patients with cardiovascular diseases and its value
　　WU Xuehua YANG Jian CAO Guangheng
　　Department of Cardiology， Zhejiang Medical & Health Group Hangzhou Hospital， Hangzhou 310022， China
　　[Abstract] Objective To study the application value of mobile health strategy in the patients with cardiovascular diseases. Methods From March 2014 to March 2015， 86 patients with CHD who were diagnosed in our community were selected. According to random number table， the patients were divided into observation group and control group， with 43 cases in each group. The control group was given routine treatment， and the observation group were given mobile health strategy intervention on the basis of the control group. All patients were followed up for 2 years. The incidence rate of angina pectoris， systolic blood pressure， diastolic blood pressure， heart rate and the incidence of cardiovascular emergencies were compared between the two groups before and after treatment. The level of indicators of heart function before and after treatment were compared. Results The incidence rate of angina in the observation group was 6.98% （3/43） after treatment， which was significantly lower than that in the control group （23.26%， 10/43）（P<0.05）. Systolic blood pressure， diastolic blood pressure and heart rate were （130.5±1.8） mmHg， （80.4±5.1） mmHg， （67.2±9.4） times/min respectively after treatment in the observation group， which were all significantly lower than those of（146.5±2.2） mmHg， （91.2±6.2） mmHg and（84.2±9.0） times/min respectively in the control group（all P<0.05）. The incidence rate of cardiovascular emergencies in the observation group after treatment was 9.30%（4/43）， significantly lower than that in the control group（27.91%， 12/41）（P<0.05）. There was no difference in LVEF and VE/VA between the two groups before treatment. After treatment， LVEF and VE/VA in the observation group were significantly higher than those in the control group， and the differences were statistically significant（all P<0.05）. Conclusion The mobile health strategy in SMS and WeChat is of great application value in the patients with cardiovascular diseases， which can effectively improve blood pressure and heart rate of patients， reduce the incidence rate of cardiovascular emergencies and improve heart function.

相关热词搜索：心血管疾病 患者 探讨 策略 价值