摘要
目的研究卒中单元对脑卒中患者的早期疗效,探讨适合国情的卒中单元。方法选择2003年1月—2004年12月住院的急性脑卒中患者100例,随机进入卒中单元和普通病房,卒中单元组施行分层管理,中西医结合治疗。观察患者病死率、神经功能缺损程度、日常生活能力(Barthel指数)及褥疮、肩手综合征、骨质疏松症、肩关节半脱位等常见并发症。结果卒中单元组神经功能缺损程度评分,总有效率92%,显效率62%,病死率2%,普通病房组分别为80%,40%,6%(P均<0.05)。卒中单元组BI由28.88±11.56升至72.34±17.25,普通病房组由28.70±12.11升至61.31±8.21(P均<0.01)。卒中单元组褥疮、肩手综合征、骨质疏松症、肩关节半脱位发生率分别为0,10%,10%,16%,普通病房组分别为8%,30%,28%,26%(P均<0.05)。结论与普通病房相比较,卒中单元能提高急性脑卒中患者的治愈率,降低病死率,改善患者的早期日常生活能力,减少急性期患者的并发症。
Objective It is to study the early therapeutic effect of stroke unit on stroke patients and to discuss the stroke unit which is agreed with the situation of our country. Methods 100 of acute stroke patients were admitted into our department from January 2003 to December 2004, all the patients were assigned either into stroke unit （SU） or general ward （GW） randomly to receive treatment, and the data of the patients of the two groups were compared. The patients in SU accepted rank management and were treated with integrated traditional Chinese and western medicine. The mortality, the degree of neurologlc impairment, barthel index and the hackneyed complication such as bedsore, shoulder hand syndrome, ostcoporosis syndrome and shoulder joint subluxation were observed, Results The total effective rate, excellent response rate and death rate were 92 %, 62 % and 2 % on SU, 80 %, 40 % and 6 % on GW, and there was statistical difference between the two groups （P〈0.05）. Barthel was higher in SU （（28.88±11.56） rose to （72.34±17.25）） than in GW （（28.70±12.11 ） rose to （61.31± 8.21 ） ） （ P〈0.01 ）. The incidence rate of complications such as bedsore, shoulder hand syndrome, ostcoporosis syndrome and glenohumeral subluxation were less in SU （0, 10%, 10%, 16%） than in GW （8%, 30%, 28 %, 26 % ） （P〈0.05）. Conclusion For stroke patients, SU is able to improve the cure rate and daily activities in early stage and reduce the death rate and complication.
出处
《现代中西医结合杂志》
CAS
2006年第15期2014-2016,共3页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
脑卒中
卒中单元
分层管理
中西医结合疗法
stroke
stroke unit
rank management
integrated traditional Chinese and western medicine
