二级甲等医院的卒中单元医疗模式对脑卒中患者临床疗效研究

目的探讨二级甲等医院采用卒中单元医疗模式并在康复中加入针刺治疗脑卒中的效果。方法将246例脑卒中病人随机分为观察组（纳入卒中单元组）和对照组（传统治疗组）。分析两组治疗前后神经功能缺损程度（NIHSS）、疗效及常见并发症发生情况。结果治疗前观察组患者NIHSS评分（27．6±6．2）分，对照组（28．5±5．4）分，差别无统计学意义（P〉0．05），治疗后两组NIHSS评分分别为（18．3±6．7）分和（23．2±6．3）分，差别有统计学意义（P〈0．001）。在近期临床疗效上．观察组总有效率（78．57％）高于对照组（66．67％），两组差别有统计学意义（P〈0．05）。常见并发症的总发生率观察组（37．30％）低于对照组（69．17％），差别有统计学意义（P〈0．05）。结论二级甲等医院以卒中单元医疗模式管理治疗脑卒中病人。并在康复治疗中加入中医针刺治疗，效果优于传统治疗。

Therapeutic Effect of Stroke Unit Plus Acupuncture on Cerebral Stroke in a Primary Hospital

Objective To observe the clinical effect of stroke unit medical care model plus acupuncture in early rehabilitation of patients with cerebral stroke in a primary hospital. Methods 246 patients were randomly assigned to the treatment group and control group. The treatment group was managed by stroke unit medical care model plus acupuncture; the control group was treated by traditional therapy. NIHSS scores, prevalence of complication and effectiveness were observed between two groups. Result Before the study, no significant differences were demonstrated between two groups in NIHSS （27.6＋ 6.2 vs. 28.5＋5.4, P〉0.05）. Post-treatment, there were distinguished differences between treatment group and control group in NIHSS （18.3＋6.7 vs. 23.2＋6.3, P〈0.001）; the total effective rate was significantly higher in treatment group （78.57%） than in control group （66.67%）, （P〈0.05）; the prevalence of four frequent complications in treatment group （37.30%） was noticeable lower than the control group （69.17%） （P〈0.05）. Conclusion Stroke unit plus acupuncture in early rehabilitation of cerebral stroke was superior to conventional therapy in primary hospital.