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      呵護心臟 需要終身管理
      2019-06-10 10:08 來源:人民網-人民日報

        原標題:呵護心臟 需要終身管理

        在太平洋上空,一位搭乘美聯航飛機年近70歲的老人心前區不適,服藥無效后暈倒。一位中國心肺疾病專家迅速參與搶救。檢查脈搏后,醫生初步診斷為急性心梗,讓患者平躺。經被子保暖、鋼瓶吸氧等措施,病人神志恢復清醒。這樣的驚險故事,不時在我們身邊發生。其實,心臟需要終身呵護。

        “呵護心臟不是一錘子買賣。這次修好了,不代表以后就不出毛病。心臟病需要終身管理。”哈特瑞姆心臟醫生集團創始人劉興鵬說,心臟作為人體最重要的器官之一,在不同年齡段,“電路”(心律失常疾病)、“水管”(冠脈疾病)、“門窗”(瓣膜病)等都可能出問題。一個心臟病患者,需要一支團隊終身跟蹤照護。

        我國心血管類疾病患者有近3億,心血管疾病和生活方式息息相關。“改變一個健康人的生活方式比較難,而改變一位心臟病患者的生活方式相對容易。”劉興鵬認為,通過管理一個病人從而改變一個家庭的健康意識,將成為預防心血管疾病的重要突破口。

        現在,越來越多的醫生和醫療機構開始重視患者隨訪,但大多數局限于術后患者,時間限定在術后一定時間內。哈特瑞姆終身照護理念,從患者就診前開始,一直延伸到一生。哈特瑞姆心臟醫生集團創始人、北京朝陽醫院心臟中心副主任醫師田穎說,心臟病患者終身照護,是要把當下醫療環節中缺失的一環補回來。

        心臟病患者尤其是老年患者,經常同時患有多種疾病。心臟病管理不限于單一病種,應該把高血壓、糖尿病等心血管危險因素整體管起來。不僅如此,相比于缺乏醫學知識的家屬和保姆,專業人士管理會更高效。劉興鵬說,遇到老人在家犯病,子女驚慌失措,給隨訪護士打電話說明情況,原來沒那么嚴重,簡單調整下藥物在家觀察足矣,完全不需要一家子人跑醫院折騰一番。

        一項對712例房顫患者22個月的隨訪研究顯示,采用專業隨訪護士組的患者心血管死亡率為1.10%,顯著低于常規隨診組的3.90%。潛在的腦梗、心梗在管理中被消滅在萌芽狀態。

        科技創新讓患者管理更便捷。智能手環可以提醒患者按時吃藥、一鍵咨詢隨訪護士、接收語音科普。田穎表示,未來還將嘗試更多科技與醫療的結合方式。現在她希望能開放一個入口,讓更多的心臟病患者加入進來,為他們提供全生命周期的健康管理。(本報記者 王君平)

      (責任編輯:徐燕妮)

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