卒中单元医疗管理模式对急性出血性脑血管病的临床疗效分析  

Clinical Analysis of Stroke Unit Care Management in Acute Cerebrovascular Disease

作　　者：杨春玲[1] 李春红[1] 王庆湖 王兴斌[1] 陈雪[1] 段春健 刘飞雪[1] 石凤玲[1] 

机构地区：[1]齐齐哈尔第一机床厂职工医院,黑龙江齐齐哈尔161005

出　　处：《中国医学创新》2012年第33期5-7,共3页Medical Innovation of China

基　　金：黑龙江省齐齐哈尔市科技局科研课题(编号:SFZD-2011113)

摘　　要：目的:比较卒中单元医疗管理模式与普通神经内科病房模式治疗急性出血性脑血管病的临床疗效。方法:分析本院90例急性出血性脑血管病患者,其中45例被收入卒中单元病房(治疗组),45例被收入普通神经内科病房(对照组)。治疗组均按照标准化诊治程序,在及时药物治疗的同时予早期规范的肢体康复、语言训练、吞咽困难训练、尿便障碍的康复、心理康复及健康宣教、出院随访等,对照组给予常规药物治疗及一定的康复护理。两组患者均在入院、出院时及出院3个月及6个月时进行美国国立卫生研究院卒中量表(NIHSS)评定、改良Barthel指数(BI)评定,同时比较两组患者的并发症发生率。结果:两组患者治疗前NIHSS、Barthel指数评分差异均无统计学意义(P>0.05),出院时及出院后6个月时上述相关指标治疗组优于对照组,比较差异有统计学意义(P<0.05),且治疗组感染、褥疮、焦虑抑郁等并发症的发生率低于对照组。结论:卒中单元能够显著改善急性脑血管病患者的预后,降低患者的神经功能缺损程度、提高患者的日常生活自理能力、减少卒中后并发症的发生。Objective： To observe the difference between the stroke unit and general medical management model neurological unit of acute cerebral vascular diseases. Method： To select 90 cases in the hospital with acute cerebrovascular disease, 45 cases income Stroke Unit （treatment group）, and 45 cases income neurological wards （control group）. Stroke unit treatment group was in accordance with the standard procedure, while in a timely manner to the standard drug therapy rehabilitation, nursing and health education, follow-up, etc. General wards group to routine treatment. The two groups were evaluated by the U.S. National Institutes of Health Stroke Scale（NIHSS） assessment, and improved Barthel Index （BI） assessment when admitted to hospital, discharge and 6 months after discharge, while the two groups were compared the incidence of complications. Result： The two groups in NIHSS, Barthel Index assessment were not statistically significant before treatment（P0.05）, the treatment group was better than the control group in the relevant index when discharge and 6 months after discharge, the difference was statistically significant（P0.05）. Treatment group of infection, pressure ulcers, depression and other complications were lower than the control group. Conclusion： Stroke unit can improve the prognosis of patients with acute cerebrovascular disease significantly and reduce neurological functional deficits in patients, improve patient’s daily activities and reduce the incidence of complications after stroke.

关 键 词：卒中单元 普通神经内科 急性出血性脑血管病 

分 类 号：R743.3[医药卫生—神经病学与精神病学]