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  

To Compare the Clinical Effect of Stroke Unit Medical Management Mode and General Department of Internal Medicine Ward Mode on Acute Hemorrhagic Cerebrovascular Disease

作　　者：马战友[1] 

机构地区：[1]河南省三门峡市中心医院神经内科,472100

出　　处：《中国继续医学教育》2015年第27期149-150,共2页China Continuing Medical Education

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。方法选取2014年11月～2015年4月本院收治的88例急性出血性脑血管病患者作为研究对象,将其随机分为观察组与对照组各44例,其中对照组实施普通神经内科病房模式,观察组实施卒中单元医疗管理模式,最后对两组患者进行卒中量表（NIHSS）、改良Barthel指数（BI）评估。结果治疗前两组NIHSS、BI评分无明显差异（P〉0.05）;治疗后观察组NIHSS、BI评分改善程度优于对照组,两组比较差异有统计学意义（P〈0.05）。结论卒中单元医疗管理模式在急性出血性脑血管病治疗中有应用价值,能改善患者神经功能缺损,提高患者自理能力。Objective Comparison of stroke unit medical management model and general neurology ward clinical curative effect for the treatment of acute hemorrhagic cerebrovascular disease.Methods 88 cases of acute hemorrhagic cerebrovascular disease were chosen as the research object in November 2014 ～ April 2015 in our hospital, its were randomly divided into observation group and the control group, 44 cases in each group, which controls the implementation of general neurology ward model, implementation of stroke unit medical observation group management mode, ifnally, the two groups of patients with stroke scale （NIHSS） scores, modiifed Barthel index （BI） evaluation. Results Two groups of NIHSS and BI score before treatment has no obvious difference （P〉0.05）. NIHSS and BI score improvement after treatment group was signiifcantly better than the control group, two groups compare form a signiifcant difference （P〈0.05）. Conclusion Stroke unit medical management pattern in the treatment of acute hemorrhagic cerebrovascular disease had great applied value, can significantly improve patients with nerve function defect, improve the patients＇ self-care ability.

关 键 词：卒中单元医疗管理模式 普通神经内科病房模式 急性出血性脑血管病 

分 类 号：R743[医药卫生—神经病学与精神病学]