中国血液净化

中国血液净化 ›› 2016, Vol. 15 ›› Issue (07): 361-365.doi: 10.3969/j.issn.1671-4091.2016.07.011

• 中心管理与技术 • 上一篇    下一篇

血压云端监测平台在血液透析患者中的应用

刘玉梅,盛晓华,胡婕,陈林艳,费杨,汪年松   

  1.  上海交通大学附属第六人民医院肾脏风湿科
  • 收稿日期:2016-02-14 修回日期:2016-03-15 出版日期:2016-07-12 发布日期:2016-07-12
  • 通讯作者: 汪年松 wangniansong2012@163.com E-mail:wangniansong2012@163.com
  • 基金资助:

    本研究由上海交通大学附属第六人民医院院级课题项目(院内-1727)支持

Application of blood pressure monitoring cloud platform in patients on hemodialysis

  • Received:2016-02-14 Revised:2016-03-15 Online:2016-07-12 Published:2016-07-12

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摘要： 目的血压监测对血液透析患者很重要，探索高血压云端监测平台在血液透析患者家庭血压监测中的应用。方法建立移动血压云端监测平台(H-cloud)。系统由移动血压记录设备和后台云端整合平台组成。血压计测量血压，通过有线或蓝牙方式传输至移动记录设备，在3G 网络下，将数据传输至后台云端平台。医生和患者可通过移动记录设备或网页查看血压数据、图表及用药情况等。自愿参与该项目的维持性血液透析患者使用该系统3 个月。项目结束后通过问卷调查对该项目进行反馈。结果23 名维持性血液透析患者参与研究。他们的中位透析时间为22 个月，平均透析时间(11.7±0.9)h/w。39.1%的患者因高血压肾病进入血液透析，22 人接受降压治疗。3 个月研究内，平均监测时间为37.0 天，最长连续监测时间为81.0 天，34.8%的患者每天监测3 次，监测数据中高血压的比例为60.0%。项目结束后22 人参与信息反馈，其中系统的安全性评价最高为(4.5±0.5)分，系统的便捷性及数据的可靠性评价最低，分别为(3.8±1.0)分和(3.8±0.9)分，但对系统的发展总体认可。结论高血压云端监测平台能够运用在血液透析患者家庭血压监测中，但系统仍有不足需加以改进。

关键词: 血压, 血液透析, 云端平台, 移动医疗

Abstract: Background Monitoring blood pressure is not easily accessible to doctors for patients on hemodialysis. The development of telemedicine has made mobile blood pressure monitor on the cloud possible. Methods A mobile blood pressure monitor and cloud platform, named H-cloud (Hypertension-cloud) was developed, which consists of portable blood pressure devices and background recording cloud platform. Blood pressure was first measured by sphygmomanometer and then sent to mobile devices via wire or blue- tooth. The mobile devices then sent the data to the background cloud platform under 3G networks. The data, graph depicts, medication information and interaction between doctors and patients could be checked on the mobile devices or on the website. Local patients on regular hemodialysis willing to participate in the study were recruited and trained for use of the system for a period of 3 months. A questionnaire was handed out at the end of the study as the feedback. Results There were 23 patients participating in the study. Their median dialysis duration was 22 months, and their mean dialysis time was 11.7±0.9 hours/week. 39.1% patients were caused by hypertensive nephropathy. 22 patients received antihypertensive treatment. In the three months monitoring, the average number of days to measure was 37.0, and the maximal day of continuous monitoring was 81.0. 34.8% patients were monitored three times a day. The average proportion of hypertension in monitoring data was 60.0%. At the end of the research, 22 patients participated in the questionnaire. The item of‘the safety of the system’had the highest score (4.5±0.5), while the item of‘the convenience of the system’and‘the reliability of the data transmission’had the lowest score, with 3.8±1.0 and 3.8±0.9 for each. However, all of them spoke highly of the potential of the system. Conclusions The H-cloud system with mobile blood pressure monitor and cloud platform can be potentially used among patients on hemodialysis at home. However, a more advanced system has to be developed in the future.

Key words: blood pressure, hemodialysis, mobile applications,, telemedicine