[摘要] 目的 研究移動健康策略在心血管疾病患者中的應(yīng)用價值。 方法 選取2014年3月～2015年3月本社區(qū)確診的冠心病患者86例，按照隨機(jī)數(shù)字表法分為觀察組與對照組，每組43例。對照組患者予以常規(guī)治療，觀察組患者則在對照組的基礎(chǔ)上予以移動健康策略干預(yù)。對所有患者均進(jìn)行為期2年的隨訪，分別對比兩組患者治療前后心絞痛發(fā)生率、收縮壓、舒張壓、心率水平、心血管突發(fā)事件發(fā)生情況、治療前后心功能指標(biāo)水平。 結(jié)果 觀察組患者治療后心絞痛發(fā)生率為6.98%（3/43），顯著低于對照組的23.26%（10/43）（P<0.05）。觀察組患者治療后收縮壓、舒張壓、心率水平分別為（130.5±1.8）mmHg、（80.4±5.1）mmHg、（67.2±9.4）次/min，均顯著低于對照組的（146.5±2.2）mmHg、（91.2±6.2）mmHg、（84.2±9.0）次/min（P均<0.05）。治療后觀察組患者心血管突發(fā)事件發(fā)生率為9.30%（4/43），顯著低于對照組的27.91%（12/41）（P<0.05）。兩組治療前心臟LVEF及VE/VA對比差異無統(tǒng)計學(xué)意義，治療后觀察組LVEF及VE/VA均顯著高于對照組，差異均有統(tǒng)計學(xué)意義（P均<0.05）。 結(jié)論 手機(jī)短信和微信方面的移動健康策略在心血管疾病患者中的應(yīng)用價值較高，可有效改善患者血壓及心率，同時降低心血管突發(fā)事件發(fā)生率，改善心功能。
　　[關(guān)鍵詞] 心血管疾病；移動健康策略；血壓；心率；心血管突發(fā)事件7
　　[中圖分類號] R54 [文獻(xiàn)標(biāo)識碼] B [文章編號] 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.

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