急性脑血管病多学科一体化治疗模式对照研究

Research of Contrast On Systemtic Treatmeat model with Sutgects for ACVD

目的研究ACVD多学科一体化治疗模式对ACVD患者的疗效观察。方法建立完善的多学科一体化治疗的组织网络体系,共入选ACVD患者7202例,其中,将2000年6月至2005年6月在脑血管病治疗中心住院的ACVD患者共4089例作为治疗组(多学科一体化治疗),1995年5月至2000年5月住院的ACVD患者共3113例作为对照组(以往常规治疗法)。观察指标是神经功能缺损评分(NI HSS)、生活能力评分(BI)、牛津残障评价(OHS)、住院时间、病死率及合并症和出院后6个月残障评价。经SPSS Windows10.0统计学方法,进行分析。结果治疗组NI HSS-4.59±4.68、BI29.53±24.40、OHS-1.29±0.95对照组NI HSS-1.97±2.17、BI6.94±21.41、OHS-0.84±1.09两组比较有极显著意义(P<0.001),临床治愈率提高31.92%,平均住院日缩短8.8天,病死率降低了12.27%,并发症降低了12.52%,致残率降低了31.92%。结论多学科一体化治疗模式能提高治愈率、减少并发症、降低病死率和致残率、提高了患者的生活质量,是适合我国的ACVD的治疗模式。

Objective： To investigate the effects of systematic treatment model with subjects for ACVD patients. Methods： TO establish perfect network of Systematic Treatment model with subgerts. 7202 patients in hospital were eligible for the criteria that the patients were admitted with ACVD. Of all patients,4089 were made was treatment group from June, 2000 to June2005（Systematie Treatment model with subgerts）;3113 were made as control group from June, 1995 to June, 2000 （conventional therapy）. Parameters observed were at NIHSS, BI, OHS, Inhospital days, mortality, eomplieantion and six months appraise of physical disabilities at discharge. Parameters were analyged by SPPS Windows 10,0 softwere. Results： The treatment group NIHSS - 4.59 ± 4. 68, BI 29. 53 ± 24. 40, OHS - 1.29 ± 0.95 ; The control group NIHSS 1.97±2.17 ,BI 16.94±21.41 ,OHS -0.84±1.09. It were significantly different between the two groups（P〈 0. 0001. Curative rate was raised 31.92 %, morality was reducedl 2.77%, complications was reduced 12.52%, the disability was reduced 31.92 %. Conehlsion Systematic Treatment model with subjects （STMSACVD） may improve obviously curative rate, reduce complication, reduce mortality of the patients and decrease the disability, increase the life level of patients. It is a perfect treatment model that fit to our national conditions.