康复联动型卒中单元在地市级医院急性脑梗死治疗中的应用  

Application of stroke rehabilitation unit in municipal hospitals during the acute phase of cerebral infarction

作　　者：王志敏[1] 王鹏[1] 陈捷[1] 罗丹红[1] 沈王明 

机构地区：[1]浙江省台州市第一人民医院神经内科,318020

出　　处：《中华流行病学杂志》2008年第7期724-725,共2页Chinese Journal of Epidemiology

基　　金：浙江省医药卫生科学研究基金项目（20058175）

摘　　要：目的 评价康复联动型卒中单元在地市级医院急性脑梗死治疗中的疗效。方法 急性脑梗死患者随机进入康复联动型卒中小组病房（77例）和普通病房（73例），比较治疗前后两组患者神经功能（NIHSS评分）、日常生活能力（ADL Barthel指数）及住院时间。结果 两组患者治疗前平均NIHSS评分分别为9．26与9．12（P〉0．05），治疗后分别为2．62与7．64（P〈0．01），治疗前平均ADL Barthel指数分别为52．04与53．16（P〉0．05），治疗后分别为87．26与64．20（P〈0．01），两组平均住院日分别为22．25d及26．67d（P〈0．05）。结论 康复联动型卒中单元模式应用于脑梗死急性期治疗，可改善患者的神经功能及日常生活能力，缩短住院时间，在地市级医院优于普通卒中病房。Objective To evaluate the efficacy of stroke rehabilitation unit in municipal hospitals during the acute phase of cerebral infarction. Methods 77 acute cerebral infarction patients were randomly assigned to stroke rehabilitation unit group and 73 to ordinary group. The NIH stroke scale （NIHSS）, activities of daily living （ADL） Barthel index and average hospitalized time were compared in two groups before and after the treatment. Results The average NIHSS in two groups before treatment were 9.26 and 9.12 respectively （P 〉 0.05） but became 2.62 and 7.64 after treatment （ P 〈 0.01 ）. The average ADL Barthel index in two groups before the treatment were 52.04 and 53.16 （P 〉 0.05） but 87.26 and 64.20 after the treatment （P〈 0.01）, The average hospitalized time in the two groups were 22.25 and 26.67 days （P〈 0.05）. Conclusion When stroke rehabilitation unit being applied in the acute phase of cerebral infarction, it showed positive results in the following aspects as： improving the neurological function, capabilities of managing daily life, and also shortening the days of hospitalization.

关 键 词：卒中单元 脑梗死 地市级医院 

分 类 号：R743.3[医药卫生—神经病学与精神病学]