中西医结合卒中单元对严重脑卒中恢复期患者影响的初步研究  

The Preliminary Study of Integrative Stroke Unit for Serious Stroke Patients in Convalescence Stage

作　　者：李丹丹[1] 李向荣[1] 吴清明[1] 刘未艾[1] 陈罡[1] 林巧梅[1] 

机构地区：[1]湖南中医药大学第二附属医院

出　　处：《中西医结合心脑血管病杂志》2009年第3期272-273,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：湖南省针灸推拿学重点学科基金资助项目

摘　　要：目的探讨中西医结合卒中单元对严重脑卒中恢复期患者的影响。方法94例严重脑卒中(牛津残障量表评定均为5级)恢复期患者随机分为中西组和对照组,两组均按卒中单元模式进行治疗,中西组加用规范化中医药辨证施治及针灸治疗,观察项目为住院病死率、住院费用、并发症发生率、斯堪的纳维亚卒中量表(SSS)、功能独立性量表(FIM)、牛津残障量表(OHS)评分等。结果中西组SSS、FIM评分治疗前后差值均高于对照组(P<0.01);并发症发生率低于对照组(P<0.05);治疗后中西组OHS恢复到3级～4级者较对照组多(P<0.05);两组病死率、住院时间及住院费用无统计学意义。结论中西医结合卒中单元较一般卒中单元对患者更有益。Objective To study the influence of integrated traditional Chinese and western medicine stroke unit on serious stroke patients （pts） in convalescence stage. Methods Ninety - four pts with serious stroke （the fifth class or grade in Oxford handicap scale） were randomly divided into integrated traditional Chinese and western medicine group （TCWM group） and control group,both of which were treated according to the stroke unit mode. Acupuncture and TCM therapy were used in TCWM group. The mortality, cost of hospitalization, complications, Scandinavian stroke scale （SSS）, function independence measuring scale （FIM） and Oxford handicap scale （OHS） were analyzed. Results The improvement of the SSS, FIM in TCWM group was better than that in control group （P〈0.01） ; Complications in TCWM group were lower than that in control group （P〈0.05） ;The pts with OHS 3 to 4 grade in TCWM group were more than that in control group （P〈0.05）. There were no different in mortality, days of hospitalization and cost in two groups. Conclusion Integrated traditional Chinese and western medicine stroke unit was superior to common stroke unit for serious stroke pts in convalescence stage.

关 键 词：脑卒中 恢复期 中西医结合 卒中单元 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]