卒中单元模式下综合疗法治疗急性脑梗死的研究

目的　比较卒中单元模式下综合疗法与普通病房单纯西药治疗急性脑梗死的临床疗效。方法　将住院的急性脑梗死患者分为对照组和治疗组。治疗组采用中西医结合联合用药,早期功能康复训练、心理疗法及针刺疗法。对照组采用单纯西药治疗。结果　2个疗程后,治疗组总有效率为92 .7% ,治愈率为4 5 .8% ;对照组总有效率为5 6 .3% ,治愈率为18.8% ,2组比较有显著性差异(P均<0 .0 1) ;梗死病灶变化好转率治疗组明显高于对照组,亦有显著性差异(P <0 .0 5 )。结论　卒中单元模式下综合疗法治疗急性脑梗死疗效显著,能降低脑梗死的致残率及病死率。

Study of synthetie treatment on acute cerebral infarction under stroke unit mode

Objective It is to compare the curative effect of acute cerebral infarction treated with synthetic treatment under stroke unit mode and single west medicine in general ward. Methods Acute cerebral infarction patients in hospital were divided into treatment group and contrast group. The treatment group was treated with combination of TCM and west medicine, early functional rehabilitation training, psychotherapy and acupuncture. The contrast group was treated with general western medicine. Results After two courses of treatment, the total effective rate was 92.7% and the cure rate was 45.8% in treatment group, but the total effective rate was 56.3% and the cure rate was 18.8% in contrast group. There was significant difference between the two groups (P<0.01). Meanwhile, the improvement rate of infarction focus change in treatment group was obviously higher than that in control group, and there was a significant difference (P<0.05). Conclusion Synthetic treatment has significant curative effect on acute cerebral infarction under stroke unit mode and can decrease fatality rate and death rate of apoplexy.