中国血液净化

中国血液净化 ›› 2019, Vol. 18 ›› Issue (05): 316-318.doi: 10.3969/j.issn.1671-4091.2019.05.007

• 临床研究 • 上一篇    下一篇

移动互联网医疗对腹膜透析质量的影响

王晓艺1,任野萍1,李岩1   

  1. 1. 哈尔滨医科大学附属第二医院肾内一科
  • 收稿日期:2018-11-29 修回日期:2019-02-20 出版日期:2019-05-12 发布日期:2019-05-15
  • 通讯作者: 任野萍 renyeping123@126.com E-mail:renyeping@126.com
  • 基金资助:

    黑龙江省卫计委课题(2017-094)

The impact of medical management through mobile internet on the quality of peritoneal dialysis

  • Received:2018-11-29 Revised:2019-02-20 Online:2019-05-12 Published:2019-05-15

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摘要： 【摘要】目的探讨移动互联网医疗模式对腹膜透析(peritoneal dialysis，PD)质量的影响。方法选取2016 年6 月～2018 年6 月于哈尔滨医科大学附属第二医院行PD 治疗的患者78 人，随机分为干预组和对照组，每组39 例。对照组每3 个月门诊随访1 次，干预组在此基础上使用移动设备进行移动互联网医疗管理。比较2 组患者2 年间透析质量差异(评估指标为Kt/V、血红蛋白、血清白蛋白、血钙、血磷达标率)。结果实验组血红蛋白达标率0.56±0.24，对照组为0.34±0.27(t=3.718，P＜0.001)；实验组血清白蛋白达标率为0.73±0.27，对照组为0.51±0.28(t =3.142，P＜0.001)；实验组血钙达标率为0.83±0.24，对照组0.70±0.30(t=2.132，P = 0.041)；实验组血磷达标率0.68±0.25，对照组0.39±0.27(t=4.913，P＜0.001)；实验组Kt/V 达标率0.90±0.18，对照组0.70±0.30(t=3.473，P＜0.001)；不良事件实验组1 例，对照组7 例(c2=5.007，P=0.031)；实验组各项指标达标率均高于对照组，且实验组的不良事件发生率低于对照组，差异具有统计学意义。结论移动互联网医疗有助于腹膜透析质量的提高。

关键词: 移动医疗, 慢性肾脏病, 血液净化, 腹膜透析

Abstract: 【Abstract】Objective To investigate the medical management through mobile internet on the quality of peritoneal dialysis (PD). Methods A total of 78 patients undergoing PD in the Second Affiliated Hospital of Harbin Medical University from June 2016 to June 2018 were randomly divided into experimental group (n=39) and control group (n=39). The control group was followed up once every 3 months, and the experimental group used mobile electronic devices to receive medical management through mobile internet. The differences in dialysis quality including Kt/V, hemoglobin, serum albumin, serum calcium, and the compliance rate of serum phosphorus were compared between the two groups. Results The compliance rate of hemoglobin was 0.56±0.24 in experimental group and 0.34±0.27 in control group (t=3.718, P＜0.001). The compliance rate of serum albumin was 0.73±0.27 in experimental group and 0.51±0.28 in control group (t=3.142, P＜0.001). The compliance rate of serum calcium was 0.83±0.24 in experimental group and 0.70±0.30 in control group (t=2.132, P=0.041). The compliance rate of serum phosphorus was 0.68±0.25 in experimental group and 0.39±0.27 in control group (t=4.913, P＜0.001). The compliance rate of Kt/V was 0.90±0.18 in experimental group and 0.70±0.30 in control group (t=3.473, P＜0.001). The adverse event was found in one case in experimental group and 7 cases in control group (c2=5.007, P=0.031). The compliance rates of all parameters were higher in experimental group than in control group. Conclusion Medical management through mobile internet can improve the quality of PD.

Key words: Mobile internet, Chronic kidney disease, Peritoneal dialysis, Blood purification