多学科整合治疗模式——卒中单元治疗脑卒中的应用研究

The multidisciplinary integrated treatment mode of stroke unit for stroke

目的探讨多学科整合治疗模式——卒中单元对脑卒中的治疗价值。方法采用随机平行对照设计,观察卒中单元试验组与普通病房治疗对照组在脑卒中的病死率、并发症发生率、美国国立卫生院卒中量表(NIHSS)评分、Barthel Index(BI)评分、住院时间和费用等方面的差异。结果治疗前试验组与对照组在脑卒中的发病危险因素、诊断、NIHSS及BI评分方面比较差异均无统计学意义(均P>0.05);治疗后试验组的NIHSS改善91.3%(73例),高于对照组71.3%(57例);治疗后试验组BI改善93.8%(75例),优于对照组75.O%(60例),差异均有统计学意义(均.P<0.05)。2组在住院时间和费用等方面比较差异均无统计学意义(均P>0.05)。结论多学科整合治疗模式是脑卒中有效的治疗方式。

Objective To evaluate the effect of multidisciplinary integrated treatment mode of stroke unit for stroke. Methods The main observation indexes included mortality,infection rate, Barthel Index （ BI ） , National Institutes of Health Stroke Scale （ NIHSS） ,the length of the stay and cost/effect. Results There was no significant statistical difference in risk factor,diagnosis, NIHSS and BI between groups before treatment（ P 〉 0. 05 ）. There are significant statistical differences in NIHSS（91. 3% vs 71.3% ） and BI（93. 8% vs 75.0% ） between two groups after treatment （ P 〈 0.05 ）. Hospital stay and cost were not statistically different between the two graps （ P 〉 0.05 ）. Conclusion Multidisciplinary integrated treatment mode is an effective treat ment for stoke.