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呼吸音数字听诊在呼吸系统疾病远程医疗中应用

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目的:分析呼吸音数字听诊在呼吸系统疾病远程医疗中的作用.方法:应用电子听诊器对基层医院需要远程会诊的患者进行呼吸音数字采集,上传数字听诊系统平台,国家远程医疗与互联网医学中心组织北京三甲医院专家进行远程会诊,分析会诊病例的病种组成,治疗效果,调查患者的满意度.结果:远程会诊共完成12例,排名前2位的病种分别是结缔组织病相关间质性肺疾病、慢性阻塞性肺病急性发作.因需会诊的患者为疑难或危重病例,经积极治疗后,临床好转10例,死亡2例.患者或家属非常满意7例,比较满意4例,基本满意1例,不满意0例,满意率为91.6%.结论:远程医疗结合呼吸音数字听诊可以充分发挥互联网技术的优势,实现医疗资源的共享和分配,上级医院医生可以及时对患者进行远程听诊,提高诊断的准确性和治疗效果,提高患者满意度.
Application of Digital Auscultation of Respiratory Sounds in Telemedicine of Respiratory Diseases
Objective:To analyze the role of digital auscultation of respiratory sounds in remote medical treatment of respiratory diseases.Methods:Using an electronic stethoscope to collect breath sounds from patients who need remote consultation in grassroots hospitals,upload them to the digital stethoscope system platform,and organize experts from Beijing's top three hospitals for remote consultation by the National Remote Medical and Internet Medical Center.Analyze the disease composition of the consultation cases,treatment effectiveness,and investigate patient satisfaction.Results:A total of 12 remote consultations were completed,with the top 2 diseases being interstitial lung disease caused by rheumatic immune disease and acute exacerbation of chronic obstructive pulmonary disease.Due to the need for consultation,10 patients were clinically improved and 2 died after active treatment for difficult or critical cases.7 patients or family members were very satisfied,4 were relatively satisfied,1 was basically satisfied,and 0 were dissatisfied.The satisfaction rate was 91.6%.Conclusion:The combination of telemedicine and digital auscultation of respiratory sounds can fully leverage the advantages of internet technology,achieve the sharing and allocation of medical resources,and enable higher-level hospital doctors to conduct timely remote auscultation of patients,improve diagnostic accuracy and treatment effectiveness,and improve patient satisfaction.

respiratory diseasestelemedicinerespiratory soundsdigital auscultation

王德华、郜书辉

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平阴县人民医院呼吸内科(山东 济南 250400)

平阴县人民医院院感科(山东 济南 250400)

呼吸系统疾病 远程医疗 呼吸音 数字听诊

济南市卫生健康委科技项目

2021-2-143

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(7)
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