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目的探讨远程会诊模式应用于养老院治疗下肢静脉性溃疡患者的疗效。方法选择2015年1月-6月社区养老院内的40例已确诊的下肢静脉性溃疡患者,随机分为对照组和研究组,每组20例。对照组由养老院的医生给予下肢静脉性溃疡治疗;研究组由三级医院伤口治疗中心的医务人员通过远程会诊模式,指导养老院的医务人员进行下肢静脉性溃疡治疗。治疗3个月后对患者进行疗效观察。结果对照组无效12例,有效7例,显效1例,无治愈患者,总有效率为40%;研究组无效1例,有效12例,显效7例,治愈2例,总有效率为95%。两组总有效率比较差异有统计学意义(χ2=13.789,P<0.001)。结论远程会诊模式应用于养老院治疗下肢静脉溃疡的疗效显著。
Objective To explore the efficacy of teleconsultation mode in nursing home for treating patients with venous leg ulcers. Methods Forty patients with venous leg ulcers diagnosed in community nursing home from January to June in 2015 were randomly divided into control group and study group, 20 cases in each group. The control group was treated by the nursing home doctor for the treatment of venous leg ulcers. The study group consisted of teleconsultation mode by the medical staff of the tertiary care center to guide the medical staff in the nursing home to treat the venous leg ulcers. After 3 months of treatment, the patients were observed. Results The control group was ineffective in 12 cases, effective in 7 cases, markedly effective in 1 case, no cure, the total effective rate was 40%; the study group was ineffective in 1 case, effective in 12 cases, markedly effective in 7 cases, cured in 2 cases, the total effective rate was 95% . The total effective rate between the two groups was statistically significant difference (χ2 = 13.789, P <0.001). Conclusion The application of teleconsultation model to the nursing home for the treatment of venous leg ulcers has significant curative effect.