|本期目录/Table of Contents|

[1]朱合,孙亮,陈蕊,等.远程随访平台在慢性肾脏病管理中的应用效果观察[J].慢性病学杂志,2018,(04):387-390.
　ZHU He*,SUN Liang,CHEN Rui,et al.Observation of the effect of remote follow-up platform in the management of chronic kidney disease[J].,2018,(04):387-390.
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远程随访平台在慢性肾脏病管理中的应用效果观察(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2018年04期
页码:
387-390
栏目:
论著
出版日期:
2018-04-28

文章信息/Info

Title:
Observation of the effect of remote follow-up platform in the management of chronic kidney disease
作者:
朱合1;  孙亮1;  陈蕊2;  毕光宇2;  卜玲2;  张燕2;  徐道亮1; 2
1. 中南大学湘雅二医院，长沙410013； 2. 江苏省苏北人民医院，江苏扬州225001
Author(s):
ZHU He*;  SUN Liang;  CHEN Rui;  BI Guang-yu;  PU Ling;  ZHANG Yan;  XU Dao-liang
*Second Xiangya Hospital, Central South University, Changsha, Hunan 410013, China Corresponding author: XU Dao-liang, E-mail: yzxdl@126.com
关键词:
远程随访平台; 慢性肾脏病; 远程医疗; 再住院率
Keywords:
Remote follow-up platform;  Chronic kidney disease;  Telemedicine;  Rehospitalization rate
分类号:
R473.6
DOI:
-
摘要:
目的探讨远程随访平台在慢性肾脏病（CKD） 患者随访中的应用价值，为提高疗效作参考。方法 选取曾于苏北人民医院肾内科住院治疗后出院的CKD 3~5期非透析CKD 患者165例，随机分为远程随访组、定 期门诊随访组及非定期随访组，随访12 个月。对比三组CKD 患者的血压、血红蛋白、血清白蛋白、24 h 尿蛋白 定量、肾小球滤过率（eGFR） 及再住院率等指标。结果与非定期门诊随访组相比较，远程随访组和定期门诊 随访组血压、血红蛋白、血清白蛋白、24 h 尿蛋白定量、eGFR 及再住院率差异均有统计学意义（P<0.05）；而 远程随访组与定期门诊随访组间上述指标比较，差异无统计学意义（P>0.05）。结论在CKD 3~5期非透析患 者中，应用远程随访平台能够达到定期门诊随访同样的医疗质量，有利于延缓CKD 进展，并且远程随访模式更 能减少再住院率。
Abstract:
Objective To investigate the value of the remote follow-up platform in the management of patients with chronic kidney disease （CKD） . Methods Totally 165 CKD3- 5 non- dialysis patients who were discharged from Subei People’s Hospital after treatment were divided into the remote followup group, the regular outpatient follow-up group and unscheduled follow-up group. After one year’s follow- up, blood pressure, hemoglobin, serum albumin, 24h albuminuria, eGFR and hospitalization were compared among the 3 groups. Results Compared with the unscheduled follow-up group, blood pressure, hemoglobin, serum albumin, 24h albuminuria, eGFR in the remote follow-up group and the regular outpatient follow-up group were significantly different （P<0.05） , and there was no significant difference between the latter two groups. Conclusion The remote follow- up mode can achieve the same medical quality comparing with the regular outpatient follow- up mode for the patients with CKD3-5 non-dialysis, and both of them are able to delay the deterioration of renal function. Inaddition, the remote follow-up mode can decrease rehospitalization rate.

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备注/Memo

备注/Memo:
基金项目：扬州市社发项目（QZ201430053） 作者简介： 朱合，研究生，研究方向：原发性肾小球疾病、 慢性肾脏病治疗 通信作者：徐道亮，E-mail：yzxdl@126.com
更新日期/Last Update: 2018-04-28