我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

社区医师与心内科医师心电图诊断及治疗的差异

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第1期
页码:
81-82
栏目:
临床研究
出版日期:
2013-12-02

文章信息/Info

Title:
Difference in ECG diagnosis and need for treatment between community general practitioners and hospital cardiologists
作者:
韦彩雯; 宋 蕾; 岳冬梅; 李志华; 黄达民; 罗晓菡; 卢英民
(上海交通大学医学院附属新华医院（崇明）心内科，上海 202150)
Author(s):
WEI Cai-wen;  SONG Lei;  YUE Dong-mei;  LI Zhi-hua;  HUANG Da-min;  LUO Xiao-han;  LU Ying-min
(Department of Cardiology, Xinhua (Chongming) Hospital, Shanghai Jiaotong University, Shanghai 202150, China)
关键词:
心电图; 远程; 诊断; 社区医师; 心内科医师
Keywords:
ECG;  remote;  diagnosis;  general practitioners;  cardiologists
分类号:
R540.4
DOI:
-
文献标识码:
A
摘要:
目的:比较社区医师与心内科医师对心电图诊断及治疗的差异，了解远程心电图诊断系统安装的必要性。方法:心内科医师对503份心电图重新阅读并书写报告，作出相应的治疗，与社区医师作出的诊断及治疗方案对比，总结其差异性。结果:社区医师心电图诊断完全准确450份（89.5%），误诊53份（10.5%），心内科医师诊断完全准确498份（99.0%），误诊5份（1.0%）,两者间比较有统计学差异（P<0.01），社区医师诊断需要治疗例数475例（94.4%），不需要治疗28例（0.6%），心内科医师诊断需要治疗病例322例（64.0%），不需要治疗病例181例（36.0%），两者间比较有统计学差异（P<0.01）。结论:社区医师对心电图的诊断的正确率显著低于心内科专业医师，而判断治疗需求的患者比例显著高于心内科医师。
Abstract:
AIM:To compare the difference in ECG diagnoses between community general practitioners (GPs) and hospital cardiologists. METHODS: Reports of 503 ECG diagnoses made, respectively, by community GPs and hospital cardiologists were compared. RESULTS: Community GPs made correct ECG diagnoses in 450 cases (89.5%) and misdiagnoses in 53 cases (10.5%), whereas hospital cardiologists made correct ECG diagnoses in 498 cases (99.0%) and misdiagnoses in five cases (1.0%). A significant difference was found between groups (P<0.01). Community GPs determined treatment need for 475 cases (94.4%) and no-treatment need for 28 cases (0.6%), whereas hospital cardiologists determined treatment need for 322 cases (64.0%) and no-treatment need for 181 cases (36.0%), with a significant difference between groups (P<0.01). CONCLUSION: The rate of correct ECG diagnoses made by community GPs is significantly lower and the rate of treatment need is higher than those made by hospital cardiologists.

参考文献/References

[1]张同君.浅谈社区心脑血管病的防治策略[J].实用心脑肺血管病杂志,2010,18 (3):388.
[2]Moore MJ,Glover BM,McCann CJ,et al.Demographic andtem poral trends in out of hospital sudden cardiac death in Belfast[J].Heart,2006,92(3):311-315.
[3]Cajavilca C,Varon J.Resuscitation great.Willem Einthoven:the development of the human electrocardiogram[J].Resuscitation,2008,76 (3):325-328.
[4]于 洋,刘 静.手机无线心电监测技术系统应用验证[J].中国医疗器械杂志,2011,35(1):11-14.
[5]章慧洁,张永红,郭 跃,等.常规心电图与电话网络心电图在社区中的应用及对比分析[J].中国心脏起搏与心电生理杂志,2008,22 (6):521-523.

备注/Memo

备注/Memo:
收稿日期：2013-06-08.通讯作者：卢英民，主任医师，主要从事起搏与电生理研究 Email：Lymkkkk@yahoo.com 作者简介：韦彩雯，住院医师，硕士 Email：wenzi636@yanhoo.com.cn
更新日期/Last Update: 2014-01-20