可穿戴式设备uCare与动态心电图检测的临床对比研究

关键词：uCare  动态心电图  心脏康复

Keywords:uCare  Holter  cardiac rehabilitation

摘要：

      摘要 目的：对比分析可穿戴式设备uCare和动态心电图的心电监测结果，探讨uCare在社区心脏康复中的应用价值。 方法：选取心血管病患者16例（56—84岁），同时佩戴uCare和Holter设备，将uCare设备获取的各项心电信息（心率、心律失常及ST段改变）与Holter进行对比。 结果：①15例患者uCare和Holter测得每小时平均心率结果显示两者间差异无显著性意义（P＞0.05）。②1例患者出现频发室上性早搏和室上性连发，1例患者出现频发室性早搏，uCare和Holte测得结果显示两者间差异无显著性意义（P＞0.05）。2例患者出现心房纤颤，1例患者出现ST段异常，uCare和Holter检测结果均一致。 结论：uCare与Holter心电检测结果基本一致，uCare可以较为准确地监控患者的心电情况，保障社区心脏康复的有效性及安全性。

Abstract:

      Abstract Objective: Contrastive analysis of wearable product uCare and Holter in electrocardiographic monitoring, to demonstrate the clinical value of uCare in community cardiac rehabilitation. Method: A total of 16 patients aged from 45 to 75 years with cardiovascular disease underwent uCare and Holter examination simultaneously. The heart rate fluctuation, cardiac rhythm disturbances and ST-segment depression episodes during the examination were recorded and compared between uCare and Holter examination. Result: ① No significant difference in heart rate fluctuation was observed between uCare and Holter examination(P＞0.05). ② One subject had frequent supraventricular premature beat and successive supraventricular extrasystoles, one subject had frequent ventricular premature beat, two subjects had auricular fibrillation, and one subject had ST-segment depression. No significant difference was found between uCare and Holter examination(P＞0.05). Conclusion: The uCare and Holter examination have similar accuracy. The uCare can be used in community cardiac rehabilitation.