完善卒中单元治疗重症脑卒中的临床研究  

Clinical study of effect with the stroke unit for several stroke

作　　者：周柏玉[1] 刘小辉[1] 王静[1] 刘南[1] 迟丽屹[1] 桑海平[1] 王娜[1] 

机构地区：[1]解放军第451医院神经内科,陕西西安710054

出　　处：《第四军医大学学报》2009年第24期3150-3152,共3页Journal of the Fourth Military Medical University

基　　金：兰州军区医药卫生计划项目(LXH-2009011)

摘　　要：目的:探索完善"卒中单元"对重症脑卒中患者的临床疗效.方法:采用随机方法,研究完善"卒中单元"治疗重症脑卒中患者186例,选用爱丁堡+斯堪的那维亚评分法,在治疗前与疗程结束后分别对患者的神经系统损失状态进行评分,并用卡方检验进行了统计学检验.结果:治疗组总有效率(88.3%)显著高于对照组(68.5%)(Р<0.05).其中出血性脑卒中两组经χ2检验差异不显著,Ridit分析发现两组区间重叠极少;缺血性脑卒中治疗组有效率(92.5%)与对照组(67.2%)相比差异非常显著(Р<0.01).结论:完善卒中单元是治疗重症脑卒中患者的有效措施,能显著改善出血性脑卒中患者的生活质量,对缺血性脑卒中患者的疗效更为显著.AIM：To explore the clinical study of effect with the stroke unit for several stroke.METHODS：Ninty-two cases of the control group accepted conventional medicine treatment.Ninty-six patients of the treatment group accepted the stroke unit and rehabilitation measures.The stroke neural defect score scale were recorded to analyse the early and end of assessment,and the scores were compared before and after treatment.RESULTS：The effect of the treatment group（88.3%） is higher than control group.Before and after treatment,two score and value compared with the control group had significant difference.CONCLUSION：The measure in treating stroke of the stroke unit is positive,correct and effective.

关 键 词：重症脑卒中 卒中单元 疗效 

分 类 号：R743[医药卫生—神经病学与精神病学]