基于互联网技术的健康管理平台模式 对心血管病出院患者效果分析

Effect of Health Management Platform Model Based on Internet Technology on Discharged Patients with Cardiovascular Disease

摘要:

〔摘 要〕 目的：分析基于互联网技术的健康管理平台模式对心血管病出院患者的效果。 方法：选择 2021 年 1 月至 2022 年 1 月在南昌大学第一附属医院治疗后出院的心血管病患者，筛选其中 60 例进行分析。以抽签法保持 1:1 的人数比例 分为对照组、观察组，均为 30 例。对照组实施常规随访，观察组基于互联网技术应用健康管理平台模式进行随访和管理。 比较两组患者的健康知识掌握情况、自我管理能力、复查率和生活质量。 结果：观察组患者干预后的各项健康知识掌握 评分、自我管理能力评分、生活质量评分均高于对照组，且出院 12 个月内的复查率也高于对照组，差异均具有统计学意义 （P ＜ 0.05）。 结论：基于互联网技术应用健康管理平台模式能够提升心血管病出院患者的管理效果和效率，有利于提升 其健康知识储备和自我管理能力，保证其及时复查，并有助于其生活质量的提升。

Abstract:

〔Abstract〕 Objective To study the effect of Chief Physician Nie Yong’s self-formulated Xiaoying Prescription on thyroid antibodies, the size and number of thyroid nodules in patients with benign thyroid nodules complicated with Hashimoto’s thyroiditis. Methods A total of 92 patients with benign thyroid nodules complicated with Hashimoto’s thyroiditis diagnosed and treated in Zhumadian Traditional Chinese Medicine Hospital from May 2022 to May 2023 were selected as the research subjects and randomly divided into a control group and an observation group, with 46 cases in each group. The patients in the control group were treated with levothyroxine sodium tablets, while the patients in the observation group were treated with self-formulated Xiaoying Prescription on the basis of the control group. After 4 months of treatment, the clinical efficacy, traditional Chinese medicine (TCM) syndrome scores, thyroid antibodies, thyroid nodule size and number, and adverse reactions were observed in both groups. Results The total effective rate of treatment in the observation group was higher than that in the control group; the TCM syndrome score of the observation group was lower than that of the control group after treatment; the serum levels of thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TGAb) in the observation group were lower than those in the control group after treatment; the thyroid isthmus thickness, anteroposterior diameter of the two lobes, the longest diameter of the nodules, and the number of nodules in the observation group were all lower than those in the control group after treatment, with statistically significant differences (P < 0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion Chief Physician Nie Yong’s self-formulated Xiaoying Prescription can effectively reduce the level of thyroid autoantibodies in patients with benign thyroid nodules complicated with Hashimoto’s thyroiditis, inhibit the progression of nodules, alleviate clinical symptoms, and has high safety.