联合卒中单元在二级医院的运作与效果评价  

Operating and effect evaluation of joint stroke unit in the secondary hospital

作　　者：边双义 张淑芳[1] 冯建伟[1] 

机构地区：[1]河北省安国市医院神经内科,071200

出　　处：《中国误诊学杂志》2012年第1期10-11,共2页Chinese Journal of Misdiagnostics

摘　　要：目的通过在二级医院建立和运作联合卒中单元,以探讨基层医院脑血管病新的管理模式及效果评定。方法选择急性脑卒中患者194例,随机进入观察组(联合卒中单元)和对照组(普通病房),进行为期4周的相关治疗,运用Barthel指数、Fugl-Meyer评估以及汉密尔顿抑郁量表对患者进行评定,比较患者的综合康复疗效。结果治疗前2组间差异均无统计学意义(P>0.05);治疗后对照组以及观察组与其治疗前相比差异均有统计学意义(P<0.05),观察组与对照组治疗后相比差异有统计学意义(P<0.05)。结论 2组患者的治疗均有效,但联合卒中单元的效果更明显;联合卒中单元是基层医院实施脑血管病治疗更好的管理模式。Objective To explore and evaluate new management model of cerebrovascular disease in Primary Hospital through building and operating joint stroke unit in the secondary hospital. Methods 194 patients with acute stroke were divided into observation group（in joint stroke unit） and control group（in general ward） randomly. They were given relevant treatment respectively for 4 weeks. The activities of daily living, motor function of limbs and depres- sion and anxiety level of patients were evaluated by means of BI,Fugl-Meyer evaluation（FMA） and Hamilton depression scale（HAMD）. Then comparison of the clinical comprehensive effect was made. Results Before treatment there were no significant difference between the two groups（P〉0. 05 ）,while after treatment there were significant difference（P〈0.05）. There was also significant difference（ P〈0. 05） in the two groups after treatment. Conclusion The treatments for the two groups are both effective, but the clinical effect of joint stroke unit is more obvious;the joint stroke unit is a better management mode of treatment for cerebrovascular disease in basic level hospital.

关 键 词：卒中/治疗 疾病管理 

分 类 号：R743[医药卫生—神经病学与精神病学]