中西医结合卒中单元对急性脑卒中患者的影响初步研究  

The Effects of the Treatment in Stroke Unit of Intergrated Therapy of TCM and WM on Patients with Stroke in Acute Stage

作　　者：李向荣[1] 吴清明[1] 刘未艾[1] 石学慧[1] 易宣超[1] 杨智慧[1] 谭涛[1] 李丹丹[1] 封迎帅[1] 陈罡[1] 

机构地区：[1]湖南中医药大学第二附属医院,长沙410005

出　　处：《中国中医急症》2007年第4期381-383,共3页Journal of Emergency in Traditional Chinese Medicine

摘　　要：目的研究中西医结合卒中单元对急性脑卒中患者的影响。方法将266例发病7d以内的脑卒中患者随机分为中西医结合卒中单元组(简称中西组)与对照组,两组患者均按目前一般卒中单元模式进行综合治疗,中西组另加规范化中医辨证论治和针刺治疗;主要观察指标为住院病死率、住院时间及住院费用、并发症发生率及患者神经功能评价、生活能力评价及改良的RanKin积分。结果两组病死率无显著性差异,但中西组死于并发症的比例低于对照组;两组平均住院时间及住院费用比较均无显著性差异;中西组患者NIHSS、BI治疗前后差值高于对照组;中西组总并发症、呼吸系感染、急性心肌梗死和心绞痛发生率均较对照组低;90d后随访改良RanKin积分0～3分者例数中西组高于对照组。结论与一般卒中单元比较,急性脑卒中患者可从中西医结合卒中单元的医疗模式中更多获益,并能提高非生活依赖和回归社会的比例。Objective： To study the effects of the treatment in stroke unit of lntergrated Therapy of TCM and WM （SUI） on patients with stroke in acute stage. Methods： 266 patients were randomly assigned to the SUI group and the control group. Patients in both groups received combination treatment in stroke unit, while patients in the SUI group received therapy of TCM in addition. The mortality, hospitalization time, rate of complications, National Institutes of Health Stroke Scale（NIHSS）, Barthel Index（BI） and Modified Rankin Scale （MRS） were the mainobserved indexes. Results： There were no significant difference in the mortality and hospitalization time between the two groups, while the mortality that was caused by complications in the SUI group was lower than in the control group . The difference of scores of NIHSS, BI before and after the treatment, in the SUI group were significantly higher than that in the control group. The rate of complications in the SUI group were lower than that in the control group. There were no significant differences in the hospitalization time between the two groups. 90 days after the treatment, Patients whose score were 0 -3 in the SUI group were more than those in the contorl group. Conclusion： Compaired with received treatment in the common stroke units, the patients in stroke unit of Intergrated Therapy of TCM and WM could achieve more benifit in rehabilitation.

关 键 词：脑卒中 卒中单元 中西医结合 康复 

分 类 号：R743.9[医药卫生—神经病学与精神病学]