卒中单元管理模式在脑梗死患者治疗过程中的应用体会

目的:探讨卒中单元管理模式在脑梗死患者治疗过程中的作用。方法:脑梗死患者270例,分为A、B两组均常规予以药物治疗,其中A组予以卒中单元管理模式治疗,观察日常生活活动Barthel指数、临床神经功能缺损评分,采用HAMD量表评价卒中后抑郁发生率。结果:治疗后A组BI、NDS改善较治疗前和B组显著。A组痊愈率、显效率、总有效率分别为47.5%、76.0%、93.5%,显著优于B组的42.2%、66.0%、86.5%(均P<0.01)。A组抑郁、患侧肩手综合征和肢体痉挛综合征的发生率显著低于B组。结论:卒中单元治疗模式显示出了其优越性,已经成为急性卒中后减少病残率和病死率的有效干预方法。

Apllication of Stroke Unit in the Treatment of Patients with Cerebral Infarction

OBJECTIVE:To discuss the role of stroke unit in the treatment of patients with cerebral infarction.METHODS:A total of 270 patients with cerebral infarction were divided into 2 groups.Group B was given routine drug treatment,but group A was treated with routine drugs plus stroke unit treatment.The major outcome measures were barthel index of activities of daily living,neurologic impairment score,and incidence of post-stroke depression that evaluated by HAMD scale.RESULTS:The BI and NDS in group A after treatment had better improvement as compared with before treatment and group B.The cure rate,excellent effective rate and total effective rate in group A were 47.5%,76.0%,and 93.5%,significantly higher than in group B(42.2%,66.0%,and 86.5%,respectively P<0.01).The incidences of depression,shoulder-hand syndrome,and convulsion syndrome of limbs were significantly lower in group A than in group B.CONCLUSION:Stroke unit has showed its advantages,and it has become an effective intervention method in the reducing of invalidity rate and mortality after acute stroke.