成立脑卒中中心对急性缺血性脑卒中治疗效果的回顾性研究

目的 探讨成立脑卒中中心对急性缺血性脑卒中患者治疗效果的影响。方法 收集本院急诊科2013年6月～2015年11月收入神经内科住院的急性缺血性脑卒中患者62例,其中脑卒中中心成立前30例为对照组,脑卒中中心成立后32例为观察组,对脑卒中中心成立前后治疗效果进行回顾性分析; 观察组严格按照脑卒中中心制定的标准流程进行治疗; 对照组仅用常规药物治疗,转科或出院后再进行康复锻炼; 收集在治疗前、治疗后10、30 d患者的美国国立卫生研究院卒中量表(NIHSS)判定神经功能缺损情况和日常生活活动能力(ADL)评分,并于90 d时再次评定ADL评分。结果 成立脑卒中中心后观察组符合溶栓条件的溶栓率83.3%,显著高于成立前对照组溶栓率(45.5%),患者总有效率亦高于成立脑卒中前总有效率(P<0.01),治疗30 d后观察组NIHSS和ADL评分明显优于对照组(P<0.01)。结论 成立脑卒中中心可以提高急性缺血性脑卒中患者溶栓率,明显改善患者的总体治疗效果。

The retrospective research of the effect of establishing stroke center on the therapeutic effect of acute ischemic brain stroke

ObjectiveTo explore the effect of establishing a stroke center on the therapeutic effect of patients with acute ischemic brain stroke.Methods 62 cases,hospitalized for acute cerebral infarction,were included from June 2013 to November 2015.The group of 30 cases,admitted before stroke center being established,was considered the control group and the other group with 32 cases who hospitalized after the founding of the stroke center was designated as the observed group.The observed group was processed in strict accordance with the stroke center process,including the establishment of green access,ultra early thrombolytic therapy,late rehabilitation and neurosis exercise.While the control group was primarily treated with conventional drug therapy.And ratios of intravenous thrombolysis were compared.The scores of the National Institutes of Health Stroke Scale(NISS)to determine the neural function and activities of daily living(ADL)scale were collected before and after treatment for 2 weeks,4 weeks,and after treatment for 12 weeks the ADL score was evaluated again.Results The ratios of intravenous thrombolysis in the observed group(83.3%)was significantly higher than that in the control group(45.5%).The overall effective rate was dramatically higher after stoke center being established(P<0.01).The scores of NISS and ADL in the observed group at 4 week was significantly better than those in the control group(P<0.01).Conclusion Establishing the stoke center increased the ratios of intravenous thrombolysis and improved the overall effect,which made it worthy of clinical application.