心血管

订阅

MedSci主页 / 所有栏目 / 心血管

Lancet子刊：葛均波院士团队发现微信可指导患者慢病康复

2019-10-16 朱朱 中国循环杂志

医学人文微信葛均波
关注

10月10日，复旦大学附属中山医院葛均波院士等人在Lancet公共卫生子刊发表了一项平行分组、单盲、随机对照研究。该研究提示，通过微信这一社交平台开展手机心脏康复和二级预防项目，有较高的效率和可及性，而且很容易使用。这说明，在慢性病领域广泛地实施类似的治疗模式是可行的。微信指导系统在该研究中，与仅接受常规治疗的冠心病患者（对照组）相比，微信指导组患者2个后6分钟步行距离改善更明显，从489.2米增

10月10日，复旦大学附属中山医院葛均波院士等人在Lancet公共卫生子刊发表了一项平行分组、单盲、随机对照研究。

该研究提示，通过微信这一社交平台开展手机心脏康复和二级预防项目，有较高的效率和可及性，而且很容易使用。这说明，在慢性病领域广泛地实施类似的治疗模式是可行的。



微信指导系统

在该研究中，与仅接受常规治疗的冠心病患者（对照组）相比，微信指导组患者2个后6分钟步行距离改善更明显，从489.2米增至539.1 米，对照组从485米增至517.8米，校正后平均差值为20.64米。

6个月时微信指导组6分钟步行距离仍在持续改善，两组间平均相差22.29 m。

研究期间，微信指导组患者未报告不良事件或安全问题。

该研究纳入312例患者，其平均年龄60.5岁，81%为男士。所有患者被随机分入微信指导组或对照组。

研究中，微信指导组患者先接受为期2个月的强化项目，然后进入4个月项目期，患者通过微信平台接受全面的心脏康复和二级预防指导信息。而对照组仅接受心内科门诊随访，没有正式的心脏康复和二级预防指导。

来源：

Smartphone and socialmedia-based cardiac rehabilitation and secondary prevention in China (SMART-CR/SP)： a parallel-group， single-blind， randomised controlled trial. Lancet Public Health， Published： October 10， 2019

版权声明：
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料，版权均属于梅斯医学所有。非经授权，任何媒体、网站或个人不得转载，授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章，或“梅斯号”自媒体发布的文章，仅系出于传递更多信息之目的，本站仅负责审核内容合规，其内容不代表本站立场，本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系，我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1830295, encodeId=43ad18302953e, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Mon Oct 21 18:56:00 CST 2019, time=2019-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589101, encodeId=d1a515891016b, content=<a href='/topic/show?id=753950491ed' target=_blank style='color:#2F92EE;'>#微信#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50491, encryptionId=753950491ed, topicName=微信)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e9417676193, createdName=smlt2014, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626282, encodeId=6b0816262821b, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374010, encodeId=f2533e401034, content=学习了，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Wed Oct 16 21:38:29 CST 2019, time=2019-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049144, encodeId=eb3d1049144a6, content=院士是学术至高点，也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Oct 16 18:56:00 CST 2019, time=2019-10-16, status=1, ipAttribution=)]
    2019-10-21 howi

    #Lancet#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1830295, encodeId=43ad18302953e, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Mon Oct 21 18:56:00 CST 2019, time=2019-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589101, encodeId=d1a515891016b, content=<a href='/topic/show?id=753950491ed' target=_blank style='color:#2F92EE;'>#微信#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50491, encryptionId=753950491ed, topicName=微信)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e9417676193, createdName=smlt2014, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626282, encodeId=6b0816262821b, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374010, encodeId=f2533e401034, content=学习了，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Wed Oct 16 21:38:29 CST 2019, time=2019-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049144, encodeId=eb3d1049144a6, content=院士是学术至高点，也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Oct 16 18:56:00 CST 2019, time=2019-10-16, status=1, ipAttribution=)]
    2019-10-18 smlt2014

    #微信#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1830295, encodeId=43ad18302953e, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Mon Oct 21 18:56:00 CST 2019, time=2019-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589101, encodeId=d1a515891016b, content=<a href='/topic/show?id=753950491ed' target=_blank style='color:#2F92EE;'>#微信#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50491, encryptionId=753950491ed, topicName=微信)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e9417676193, createdName=smlt2014, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626282, encodeId=6b0816262821b, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374010, encodeId=f2533e401034, content=学习了，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Wed Oct 16 21:38:29 CST 2019, time=2019-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049144, encodeId=eb3d1049144a6, content=院士是学术至高点，也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Oct 16 18:56:00 CST 2019, time=2019-10-16, status=1, ipAttribution=)]
    2019-10-18 hjwang86

    #葛均波院士#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1830295, encodeId=43ad18302953e, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Mon Oct 21 18:56:00 CST 2019, time=2019-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589101, encodeId=d1a515891016b, content=<a href='/topic/show?id=753950491ed' target=_blank style='color:#2F92EE;'>#微信#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50491, encryptionId=753950491ed, topicName=微信)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e9417676193, createdName=smlt2014, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626282, encodeId=6b0816262821b, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374010, encodeId=f2533e401034, content=学习了，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Wed Oct 16 21:38:29 CST 2019, time=2019-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049144, encodeId=eb3d1049144a6, content=院士是学术至高点，也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Oct 16 18:56:00 CST 2019, time=2019-10-16, status=1, ipAttribution=)]
    2019-10-16 qingfengqishi5

    学习了，学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1830295, encodeId=43ad18302953e, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Mon Oct 21 18:56:00 CST 2019, time=2019-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589101, encodeId=d1a515891016b, content=<a href='/topic/show?id=753950491ed' target=_blank style='color:#2F92EE;'>#微信#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50491, encryptionId=753950491ed, topicName=微信)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e9417676193, createdName=smlt2014, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626282, encodeId=6b0816262821b, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Fri Oct 18 06:56:00 CST 2019, time=2019-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=374010, encodeId=f2533e401034, content=学习了，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Wed Oct 16 21:38:29 CST 2019, time=2019-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049144, encodeId=eb3d1049144a6, content=院士是学术至高点，也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Oct 16 18:56:00 CST 2019, time=2019-10-16, status=1, ipAttribution=)]
    2019-10-16 junJUN

    院士是学术至高点，也是大家必争之地呀

    0

相关资讯

叶平教授：糖尿病心血管病风险管理进入全程疾病管理时代

10月13日，在第六届阿斯利康心血管高峰论坛上，解放军总医院叶平教授指出，根据最新的欧洲糖尿病管理相关指南，对于合并动脉粥样硬化型心血管病或心血管高风险2型糖尿病患者，SGLT2抑制剂已超越二甲双胍，成为首选药物。虽然糖尿病显着增加高血压、冠心病和心衰患者的心血管事件风险，但在降糖治疗方面，大量研究证实，传统降糖药物未能改善糖尿病患者的心血管结局。而此时，SGLT2抑制剂横空出世。基于多项研究发现

研究：走路变慢，是衰老信号！

近日，一项来自美国杜克大学的研究表明，45岁时走路变慢，就提示这个人变老了。“一个人45岁时走路变慢，与身体多器官系统老化加速和脑容量变小、皮质变薄有关。”研究者介绍说。研究显示，走路慢与肺、牙齿、免疫系统变老都有关，最让人凉凉的是，走慢了，大脑和脸蛋也变老，也就是说认知变差，脸显老。此外研究者还发现，45岁时走路慢不慢，3岁时就能判断。3岁时智商、理解能力、情绪控制能力等差的人，通常在45岁时走

关注：由中国罕见病联盟组织撰写的HTA专家共识将在2019年中国罕见病大会上发布

由中国罕见病联盟发起，北京协和医院张抒扬教授与国家卫健委药物与卫生技术综合评估中心副主任赵琨教授作为负责人，共同制定的《罕见病药物卫生技术评估专家共识(2019)》将在”2019年中国罕见病大会”上隆重发布。中国速度——助力罕见病防控罕见病（Rare Diseases），顾名思义是发生率较低的疾病，它是全人类共同面临的重大医学难题。党的十八大以来，在以习近平同志为核心的党中央、国务院的坚强领导下，

一会儿说左，一会儿说右，让人无所适从！新指南“红肉无害论”被批

营养学很复杂，不时有媒体发布耸人听闻的报道。这儿又来一个！著名的《内科学年鉴》杂志刊发的一个最新文章称，成年人无需少吃红肉或加工肉，因为其心脏病以及癌症几乎没有或毫无影响。而之前相当多的研究表明，红肉与癌症、心血管病、脂肪肝等多种疾病有密切关联。很多指南或共识也明确建议，限制红肉和加工肉的摄入量。世界卫生组织认为，红肉是“可能致癌物”，加工肉则是“致癌物”。2016版中国居民膳食指南建议，成年人每

吃梨也相当于吃他汀！汇总分析称：多吃苹果或梨，可预防心血管病

以前有研究发现，50岁以上老人每天吃一个苹果，患心脏病或中风的风险就能降低12%。媒体则报道称，每天一个苹果，就像吃他汀。那么吃梨是否也有同样的功效？最近一项研究发现，吃梨也是可以的。观察性研究的结果显示，多吃苹果或梨，可显着降低多种疾病的死亡风险，包括急性冠脉综合征风险、脑血管病、心血管死亡、2型糖尿病和全因死亡风险。但研究发现，吃苹果和梨较多的人，体重、血糖、血压以及血脂指标均没有一致的下降。

Lancet子刊研究证实，手机APP可让人多动！

微信朋友圈中，经常有人炫自己当天的步数。盯着自己的步数落后于别人，是不是有想超越他人的冲动？近日，Lancet数字健康子刊发表的一项随机对照临床研究提示，这类手机运动APP的确可以激励自己多走路、多运动。该研究中用到的一款叫做MyHeart Counts的手机APP是由美国斯坦福大学的科学家利用苹果手机的ResearchKit平台开发的。这款APP可以追踪运动情况和其他心脏相关的信息，包括心率。现