Hypertension:中国学者Meta分析: 短信、电话、可穿戴传感器等移动医疗手段有助于血压管理

2019-07-26 朱柳媛 中国循环杂志

近年来,移动医疗成为医疗新趋势。有专家认为,移动医疗是撬动医疗服务的重要支点。不断有证据显示,移动医疗可为传统医疗提供给力“助攻”效果。

近年来,移动医疗成为医疗新趋势。有专家认为,移动医疗是撬动医疗服务的重要支点。不断有证据显示,移动医疗可为传统医疗提供给力“助攻”效果。
 
7月22日,阜外医院顾东风院士研究团队与深圳市罗湖区人民医院研究人员在Hypertension杂志发表的一项Meta分析表明,在需要接受降压治疗的成年患者中,互动式移动医疗干预有助于改善血压控制,血压控制不佳的高血压患者获益更大。
 
研究者认为,移动医疗干预可作为血压管理的有用工具,现代化的管理方案有助于改善高血压慢性病的控制率。该研究结果将为在我国开展“互联网+”慢性病管理提供重要依据。
 
分析结果显示,总体上,与对照组相比,移动医疗干预组的收缩压和舒张压分别降低3.85 mmHg和2.19 mmHg。
 
在研究时间和干预强度不同的亚组人群分析中,研究者也得出了与主要分析一致的结果。
 
另外,基线血压控制不好的患者从移动医疗干预中的获益更大。
 
该Meta分析中涉及的移动医疗干预手段包括手机短信、电话、可穿戴传感器等移动通信技术,以及具备网络传输功能的电子血压计等。
 
研究人员从PubMed、EMBASE、Cochrane Library、CNKI等数据库中,纳入于2007年1月15日至2019年4月28日发表的11项相关随机对照研究,共覆盖4271人。研究的随访期从1个月到18个月不等。
 
该Meta分析由阜外医院与深圳市罗湖区人民医院合作完成,阜外医院、国家心血管病中心流行病学研究部刘芳超博士和深圳市罗湖区人民医院副院长林锦春教授为共同通讯作者。

原始出处:Lu X1,2, Yang H1, Xia X1, et al. Interactive Mobile Health Intervention and Blood Pressure Management in Adults. Hypertension. 2019 Jul 22

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    2020-06-08 一闲
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    2020-03-01 guojianrong
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  5. 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time=2019-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370330, encodeId=644b3e03300e, content=学习了,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sat Jul 27 06:41:07 CST 2019, time=2019-07-27, status=1, ipAttribution=)]
    2020-06-02 feather89
  6. 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  7. 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time=2019-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370330, encodeId=644b3e03300e, content=学习了,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sat Jul 27 06:41:07 CST 2019, time=2019-07-27, status=1, ipAttribution=)]
    2019-07-28 mjldent
  8. 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  9. 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time=2019-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370330, encodeId=644b3e03300e, content=学习了,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sat Jul 27 06:41:07 CST 2019, time=2019-07-27, status=1, ipAttribution=)]
    2019-07-28 yahu
  10. 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time=2019-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370330, encodeId=644b3e03300e, content=学习了,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sat Jul 27 06:41:07 CST 2019, time=2019-07-27, status=1, ipAttribution=)]
    2019-07-27 184****9840

    学习了,谢谢分享。

    0

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JAMA Cardiol:全新Meta分析称,当房颤遇到冠脉介入,氯吡格雷联合达比加群/利伐沙班更佳

近期发表在JAMA心脏病学子刊上的一项Meta分析表明,对于接受冠脉介入治疗或合并急性冠脉综合征(ACS)的房颤患者,一种新型口服抗凝药物(达比加群、利伐沙班等)联合一种P2Y12抑制剂(如氯吡格雷、替格瑞洛)可能是最好的抗栓治疗策略,而华法林+双联抗血小板治疗(阿司匹林+氯吡格雷)的抗栓策略最差。

Heart:全球20国百项研究Meta分析:ST段抬高心梗治疗一半延误为急救车延误

一项覆盖全球20个国家、100项研究、12.5万余人的Meta分析表明,在ST段抬高型心肌梗死(STEMI)患者的急救车转运延误方面,各国存在较差差异,上下相差4倍。总体上,急救车转运延误占STEMI患者系统总延误的一半。