文章摘要
网络交流及大数据平台管理模式对慢性肾脏病患者预后的影响
Effect of network communication and big data platform management model on prognosis of patients with chronic kidney disease
投稿时间:2019-11-24  
DOI:10.3969/j.issn.1000-0399.2020.05.029
中文关键词: 网络交流  大数据  慢性肾脏病  预后
英文关键词: Network communication  Big data  Chronic kidney disease  Prognosis
基金项目:上海市中西医结合学会社区医学与健康管理科研课题重点项目(项目编号:SH201740)
作者单位
杨利才 201100 上海 复旦大学附属闵行医院肾内科 
徐旭东 201100 上海 复旦大学附属闵行医院肾内科 
胡屛 201100 上海 复旦大学附属闵行医院肾内科 
金玫萍 201100 上海 复旦大学附属闵行医院肾内科 
张栋梁 201100 上海 复旦大学附属闵行医院肾内科 
唐余燕 201100 上海 复旦大学附属闵行医院肾内科 
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中文摘要:
      目的 探讨网络交流及大数据平台管理模式对慢性肾脏病(CKD)患者预后的影响。方法 选择2017年1月至2019年1月复旦大学附属闵行医院肾内科门诊确诊的850例CKD1~3期患者作为试验组,选择同期在上海市闵行区古美社区医院常规随访的100例CKD1~3期患者作为对照组。试验组采用网络交流及大数据平台管理模式,对照组同期采用社区医院规律随访。检测两组患者血压、血糖、糖化血红蛋白、肾功能、血脂及尿微量白蛋白水平,统计两组患者住院人数。结果 试验组患者血压、血糖及血脂达标率分别为75.06%、50.14%和78.82%,对照组患者分别为32.00%、12.20%和62.00%,两组差异有统计学意义(P<0.05)。试验组患者CKD进展率、住院率分别为4.82%和1.41%,低于对照组,两组差异有统计学意义(P<0.05)。对照组患者尿微量白蛋白水平升高幅度高于试验组,差异有统计学意义(P<0.05)。结论 网络交流及大数据平台管理模式初步显示延缓CKD患者肾功能进展,降低其住院率,值得进一步完善及推广。
英文摘要:
      Objective To investigate the impact of network communication and big data platform management model on the prognosis of patients with chronic kidney disease(CKD). Methods A total of 850 patients diagnosed with CKD1~3 were selected as the experimental group in the Department of Nephrology of Minhang Hospital affiliated to Fudan University from January 2017 to January 2019. Meanwhile,100 patients diagnosed with CKD1~3 with routine examination and complete data were selected as the control group in the Minhang Gumei Community Hospital of Shanghai. Network communication and big data platform management model were complied in experimental group,and patients in control group were regularly followed up in the community hospital.Blood pressure, blood sugar, glycosylated hemoglobin, renal function, blood lipids, urinary microalbumin levels and number of hospitalizations were detected in the two groups. Results The compliance rates of blood pressure, blood glucose and blood lipid in experimental group were75.06%,50.14% and 78.82% respectively,and those in control group were 32.00%,12.20% and 62.00% respectively,the difference of two groups was statistically significant (P<0.05). CKD progression rate and hospitalization rate in experimental group was 4.82% and 1.41% respectively,which were lower than that of control group, and the difference was statistically significant (P<0.05). The increase of urine microalbumin level in control group was higher than that of experimental group,andthe difference of two groups was statistically significant (P<0.05).Conclusions The network communication and big data platform management model have initially presented a benefit of improved renal function and reduced hospitalization rate for the patients with CKD,whichare worth further improvement and promotion.
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