基层医院建立脑卒中单元的临床研究

【】目的探讨在基层医院建立脑卒中单元模式的临床意义。方法将2006年1-3月和2007年同期共381例脑卒中患者分为脑卒中单元组和普通病房组。脑卒中单元组按照脑卒中单元模式进行治疗，普通病房组按照传统方法治疗，分别于治疗前、治疗后7、15、30d时，对比分析两组患者神经功能缺损及疗效。结果脑卒中单元组和普通病房组治疗后，随时间两组的神经功能缺损评分（NIHSS）均逐渐降低，两组在治疗后15、30d时差异有统计学意义（P=0.007），脑卒中单元组家属满意度明显高于普通病房组（P=0.002）。结论在基层医院脑卒中单元模式对脑卒中患者的治疗效果明显优于传统治疗。【Abstract】ObjectiveToinvestigatetheclinicalsignificanceofsettingupstrokeunitmodelinbasichospital.MethodsThreehundredsandeighty-onestrokepatientswererandomlydividedintostrokeunitgroup(n=186)andgeneralwardgroup(n=189).Thestrokeunitgrouppatientsweretreatedwiththestrokeunitmodeldesignedbyourselves,whilethecontrolgrouppatientsweretreatedwithtraditionalmethod,Theclinicalefficacywascomparedbeforetreatment,sevendays,15daysand30daysaftertreatment.ResultsImprovementinneurologicalscorewassignificantlybetteramongpatientstreatedintheSUthanintheGW.NIHSSscoresgraduallyreduceinthebothgroupsaftertreatment,whichweresignificantlylowerthanthoseinthecontrolgroupon15daysand30daysaftertreatment(P=0.007,0.004).Thesatisfactoryofrelativesinthestrokeunitgroupwasbetterthanthatinthegeneralwardgroup(P=0.002).ConclusionTheefficacyoftreatmentwithstrokeunitmodelwasbetterthanthatoftreatmentwithtraditionalmethodinthestrokepatients.？