卒中单元治疗模式对脑卒中康复疗效的观察

目的观察卒中单元治疗模式对脑卒中患者功能恢复的近期及远期疗效的影响。方法将研究对象随机分为卒中单元组和对照组。卒中单元组按标准化诊治程序,在常规药物治疗的同时给予规范的综合康复治疗;对照组予常规药物治疗。两组治疗前后均采用美国国立卫生研究院卒中量表（NIHSS）、改良Barthel指数（BI）等量表进行评定,同时比较平均住院时间。结果两组患者入院时临床神经功能缺损评分、BI评分差异无显著性（P〉0.05）。治疗后近期（1个月内）两组病死率差异无显著性,卒中单元康复组感染率明显低于对照组（P〈0.05）,平均住院时间明显短于对照组（P〈0.05）,NIHSS评分明显低于对照组（P〈0.05）,BI评分明显高于对照组（P〈0.05）。远期指标（1个月至1年内）两组病死率差异无显著性,RanKin评分明显低于对照组（P〈0.05）,Burnnstorm评分明显高于对照组（P〈0.05）。结论卒中单元治疗模式能明显改善脑卒中患者的运动功能及日常生活活动能力,降低感染,缩短病程,提高生存质量。

Stroke unit for stroke rehabilitation outcome observation

Objective To observe long-term effect and short-term impact of the functional recovery of stroke patients in stroke unit treatment or in traditional treatment. Methods The subjects were randomly divided into a stroke unit treatment group and a control group, stroke unit treatment group according to standardized procedures, and the patients were given the conventional drug therapy and a standardized comprehensive rehabilitation treat- ment at the same time; control group were given conventional medical treatment. The seriousness of the two groups of patients before and after treatment were assessed base on scales, such as the U.S. National Institutes of Health Stroke Scale （NIHSS）, modified Barthel Index （BI）, average length of stay, etc. Results There were no significant difference in neurological deficit score （the fourth National Conference on the adoption of cerebrovascular disease in 1995） and BI score at the admission time（P〉 0.05）. Recent indicators after treatment （1 month）： There was no significant difference in mortality; infection in stroke Unit Group was significantly lower than that in general wards （P〈0.05）; average length of stay was significantly shorter than that in general wards （P〈0.05）; NIHSS score was significantly lower than that in the control group （P〈0.05）, BI score significantly higher （P〈0.05）. Long-term indicators （1 month to one year）： There were no significant differences in mortality; RanKin score in stroke unit was significantly lower than that in the ordinary treatment group （P〈0.05）; Burnnstorm score significantly higher than that in the ordinary treatment group （P〈0.05）. Conclusion The model of stroke unit treatment of stroke patients can significantly improve the motor function and activities of daily living, reduce infections, shorten the course and improve the quality of life.