进一步改善轻中度高血压治疗_施仲伟.ppt
《进一步改善轻中度高血压治疗_施仲伟.ppt》由会员分享,可在线阅读,更多相关《进一步改善轻中度高血压治疗_施仲伟.ppt(32页珍藏版)》请在三一文库上搜索。
1、Telemedicine Study 进一步改善轻中度高血压治疗,上海交通大学医学院附属瑞金医院 施仲伟,Home Health Monitoring Reduces Cardiovascular Disease Risk In Medically Underserved Communities,Alfred A. Bove, MD, PhD Temple Univ. Medical School Philadelphia, Pa,Telemedicine study,Reported on March 30 , 2009 at ACC 2009,Objective,Lower Cardiov
2、ascular Disease Risk in Urban and Rural Underserved Communities Compare A nurse management program 4 office visits in one year vs. Nurse management plus weekly reporting of CVD risk factors via Telemedicine,Study Subjects,Rural and Urban Subjects Framingham risk score 10% No overt CVD Age 2075 Males
3、 and Females Known PCP (Personal Care Provider),Primary End-Point 5% or Greater in CVD Risk at 1 year 25% - NM, 37.5% - T,Study Protocol,388 Subjects completed the study,One Year Results,Among patients with stage 1 hypertension who used the telemedicine reporting system, SBP reduction was significan
4、tly lower.,Conclusions and Implications,A nurse management program can reduce CVD risk in medically underserved communities, However cost for this management is prohibitive Telemedicine provides additional benefit for Blood Pressure management, particularly in patients with mild to moderate HBP,Impl
5、ications,Nurse Managed CVD risk reduction potentially can significantly reduce CVD morbidity and mortality However cost for this management is prohibitive Telemedicine provides a low cost complementary risk reduction tool Automated reminders via web and telephone PHR for archiving data and providing
6、 portability Timely feedback and advice for risk management,专家即刻评论,“This is one of several studies demonstrating that the combination of some form of Web-based technology plus human intervention is effective in lowering blood pressure.“,Daniel W. Jones, MD past president of AHA Dean of Univ Mississi
7、ppi School of Medicine,http:/ 2008, 299(24):2857-2867,internet-mediated open-label crossover trial of calcium channel blockers for hypertension 互联网为中介开放交叉钙拮抗剂治疗高血压研究,i-TECHO 试验,Ryuzaki M, et al. J Hypertens, 25(11):2352-2358,回顾:另外一项以互联网为治疗辅助的研究,上海瑞金医院施仲伟,入选患者,55名门诊高血压患者 入选标准: 收缩压140 mmHg 或舒张压90 mmHg
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 进一步 改善 中度 高血压 治疗 施仲伟
链接地址:https://www.31doc.com/p-2737782.html