组织化卒中管理模式对脑卒中患者早期疗效的影响  

Impact of Organized Stroke Ward on Early Curative Effect in Patients with Stroke

作　　者：吴婉玲[1] 卢锡林[1] 郑民缨[1] 梁伟[2] 姚晓黎[1] 胡正路[3] 

机构地区：[1]中山大学附属第一医院神经科,广东广州510080 [2]中山大学附属第一医院病案室,广东广州510080 [3]中山大学公共卫生学院

出　　处：《中国误诊学杂志》2010年第27期6559-6561,共3页Chinese Journal of Misdiagnostics

基　　金：广东省博士启动基金资助项目(编号:5300783);广东省科技计划项目(编号:2006B36003003)

摘　　要：目的研究组织化卒中管理模式对脑卒中患者早期疗效的影响。方法选择2002-01-2006-12脑卒中患者共2 637例,随机进入组织化卒中病房(研究组)和普通神经科病房(对照组),比较两组的病死率、平均住院时间、平均住院费用、生活能力评价(BI)、神经功能评价(NIHSS)、社会功能评价(OHS)。结果虽然卒中单元组和普通病房组平均住院时间、平均住院费用差异无统计学意义(P>0.05),但出院时研究组NIHSS、OHS低于对照组,BI高于对照组,差异均有统计学意义(P<0.05);且卒中单元组住院病死率低。结论组织化卒中管理模式在不增加患者的花费的情况下,能明显降低脑卒中患者的病死率,提高了患者的早期日常生活能力,减少神经功能缺损,从而提高回归社会的能力。Objective To study the impact of organized stroke ward on early curative effect in patients with stroke.Methods From January 2002 to December 2006,2 637 patients with acute stroke were investigated in our study.All patients were randomized into either organized stroke ward（SW） or general ward（GW） for treatment.The fatality ratio,average hospital stay,average hospital cost,and clinical outcome on Barthel Index（BI）,NIH stroke scale（NIHSS） and Oxford Handicap Scale（OHS） were compared between the two groups.Results No significant difference of average hospital stay and average hospital cost were found between the two groups（P0.05）.However,the scores on NIHSS and OHS were found significantly lower for the SW than that for the GW and the score on BI for the SW was higher than that for the GW（P0.05）.The fatality ratio for the SW was significant lower than that for the GW（P0.05）.Conclusion Organized stroke ward may reduce the fatality ratio,improve the daily living ability and decrease the neurological deficiency for stroke patients,without increasing the hospital cost.

关 键 词：脑血管意外/治疗/预防和控制 治疗结果 

分 类 号：R743[医药卫生—神经病学与精神病学]