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-  2020 

数字化远程会诊系统在提高新型冠状病毒肺炎精准医疗及避免交叉感染中的应用

DOI: 10.13362/j.jpmed.202001013

Keywords: 冠状病毒感染,新型冠状病毒肺炎,远程会诊,精准医学,医学信息学应用,交叉感染,系统评估
Coronavirus infections
,Novel coronavirus pneumonia,Remote consultation,Precision medicine,Medical informatics applications,Cross infection,System evaluation

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Abstract:

摘要 目的 探讨数字化远程会诊系统在新型冠状病毒肺炎患者救治及避免交叉感染中的作用。 方法 将我院与海信集团联合研发的数字化远程会诊系统应用于新型冠状病毒肺炎的救治中,统计2020年2月23日前我院收治的20例新型冠状病毒肺炎患者行远程会诊的次数及利用该系统节约医疗物资情况,并从该系统整体运行的可靠性、远程电子听诊系统应用的满意度、远程舌苔数字图像系统应用的满意度、远程影像传输的满意度、远程会诊系统的时效性、应用于传染性疾病的必要性六个方面进行电子问卷调查。 结果 我院新型冠状病毒肺炎患者的救治成功率为100%,无死亡病例。远程会诊共计256例次,诊疗方案调整225例次;在此过程中共节约口罩504个,防护服504件,隔离衣504件,且无专家和一线医务人员感染。专家及一线医务人员对该系统总体满意度高。 结论 应用我院开发的数字化远程会诊系统进行会诊,不仅保证了患者的精准治疗,而且避免了交叉感染的风险,系统运行的满意度好,在目前我院新冠肺炎救治中发挥了重要作用。
Abstract:Objective To investigate the effect of digital telemedicine system in the treatment of patients with coronavirus disease 2019 (COVID-19) and preventing cross-infection. Methods The digital telemedicine system jointly developed by our hospital and Hisense Group was applied to the treatment of COVID-19. We collected the data of 20 patients with COVID-19 admitted to our hospital before February 23, 2020, including the number of remote consultations and the amount of medical supplies saved using this system. An electronic questionnaire survey was conducted regarding the feasibility of the digital telemedicine system, the degree of satisfaction with the remote electronic auscultation system, the degree of satisfaction with the remote tongue coating digital picture system, the degree of satisfaction with remote medical imaging transmission, the timeliness of the digital telemedicine system, and the necessity of the digital telemedicine system for infectious diseases. Results The success rate of treatment was 100% in the COVID-19 patients in our hospital, and there was no death. Remote consultation was performed 256 times, and the diagnostic and therapeutic protocol was adjusted 225 times; 504 surgical masks, 504 protective clothes, and 504 isolation gowns were saved in this process, and no cross-infection occurred in consultants and front-line medical staff. The consultants and front-line medical staff showed a high degree of overall satisfaction with the digital telemedicine system. Conclusion Using the digital telemedicine system developed by our hospital for consultation not only ensures the precise treatment of COVID-19 patients, but also prevents cross-infection. This system is satisfying and plays an important role in COVID-19 treatment in our hospital

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