卒中单元医疗管理模式治疗急性出血性脑血管病的临床观察  

Clinical Observation of Stroke Unit Medical Management Mode in the Treatment of Acute Hemorrhagic Cerebrovascular Disease

作　　者：高树森[1] GAO Shu-sen(Department of Neurology,Changchun Central Hospital,Changchun,Jilin Province,130051 China)

机构地区：[1]长春市中心医院神经内科

出　　处：《中国卫生产业》2019年第23期90-91,共2页China Health Industry

摘　　要：目的探讨卒中单元医疗管理模式治疗急性出血性脑血管病的临床效果。方法纳入该院神经内科收治的72例急性出血性脑血管病患者,纳入时间自2017年12月—2019年2月,按照盲选方法将所有患者随机分为两组。对照组36例采用普通神经内科病房管理模式进行治疗,研究组36例采用卒中单元医疗管理模式进行治疗,对比治疗前后两组的神经功能缺损情况和生活能力改善情况。结果治疗前后两组的神经功能缺损评分(NIHSS评分)和改良Barther指数评定量表(BI)评分对比有差异,且研究组的NIHSS评分、BI评分改善情况优于对照组(P<0.05)。结论卒中单元医疗管理模式治疗急性出血性脑血管病能够有效改善患者的神经功能缺损症状,提高其生活质量,值得在临床上进行深入研究和推广。Objective To investigate the clinical effect of stroke unit medical management mode in the treatment of acute hemorrhagic cerebrovascular disease.Methods 72 patients with acute hemorrhagic cerebrovascular disease admitted to our department of neurology were enrolled from December 2017 to February 2019,all patients were randomly divided into 2 groups according to the blind selection method.36 patients in the control group were treated with the general neurology ward management model,and 36 patients in the study group were treated with the stroke unit medical management model.The neurological deficits and improvement of living ability were compared between the two groups.Results The scores of neurological deficit score(NIHSS score)and modified Barther index score(BI)scores were significantly different between the two groups before and after treatment.The NIHSS score and BI score of the study group were better than those of the control group(P<0.05).Conclusion Stroke unit medical management mode for the treatment of acute hemorrhagic cerebrovascular disease can effectively improve the symptoms of neurological deficits and improve their quality of life.It is worthy of in-depth research and promotion in clinical practice.

关 键 词：神经内科 卒中单元医疗管理模式 普通病房管理模式 神经功能缺损 并发症 

分 类 号：R277[医药卫生—中医学]