卒中单元在急性脑卒中患者治疗中的应用研究  

Study on the application of stroke unit to the treatment of patients with stroke in acute stage

作　　者：米凯 刘燕 贾培兰 

机构地区：[1]聊城市脑科医院,山东聊城252000

出　　处：《齐鲁护理杂志》2008年第4期1-2,共2页Journal of Qilu Nursing

基　　金：聊城市科技局资助项目;项目编号(2006第30号)

摘　　要：目的:探讨卒中单元对急性脑卒中患者的早期疗效。方法:将100例急性脑卒中患者随机分为实验组(卒中单元病房组)和对照组(普通病房组)各50例,对照组除常规护理外,进行对症治疗;实验组实行分层管理、中西医结合治疗。观察两组患者的病死率、神经功能缺损程度、日常生活能力(BI)及压疮、坠积性肺炎、失用性综合征发生情况。结果:实验组神经功能缺损程度评分总有效率92%,显效率62%,病死率2%;对照组分别为80%、40%、6%,两组比较均有显著性差异(P<0.05)。实验组BI由28.88±11.56升至72.34±17.25,对照组由28.70±12.11升至61.31±8.21,两组比较有极显著性差异(P<0.01)。实验组压疮、坠积性肺炎、失用性综合征发生率分别为0、10%、10%,对照组分别为8%、30%、28%,两组比较均有显著性差异(P<0.05)。结论:与普通病房相比,卒中单元病房能提高急性脑卒中患者的治愈率,降低病死率及致残率,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： To explore the early therapeutic effect of stroke unit on the patients with stroke in acute stage. Methods： One hundred patients with stroke in acute stage were randomly divided into experiment group （SU, n = 50 ） and control group （ GW, n = 50 ）. Proper treatment based on routine nursing care was taken in control group, and management in classification and the treatment integrated with traditional Chinese medicine were applied in experiment group. The obser- vation was made on mortality, neurological deficits, activity of daily life, pressure ulcer, hypostatie pneumonia and disuse syndrome. Results： The total effective rate of score of neurological deficits was 92% j effectual rate was 62% and mortality was 2% in experiment group, and 80%, 40%, 6% respectively in control group. The significant differences were found in the comparison between the two groups （ P 〈 0. 05 ）. BI of patients in experiment group went up from 28.88 ± 11.56 to 72. 34 ± 17.25 and from 28.70 ± 12.11 to 61.31 ± 8.21 in control group （ P 〈 0.01 ）. The incidence of pressure ulcer, hypostatic pneumonia and disuse syndrome was 0, 10%, 10% in experiment group and 8%, 30% and 28% in control group （ P 〈 0. 05 ）. Conclusion ： Curative rate can be increased when the patients with stroke in acute stage were arranged in stroke unit for the treatment. Moreover, mortality and disabling rate and complication can also be decreased and activity of daily life can be improved.

关 键 词：脑卒中 卒中单元 分层管理 中西医结合 

分 类 号：R473.5[医药卫生—护理学]