卒中单元管理脑梗死患者的疗效观察

Curative effect of management in stroke unit on cerebral infarction patients

目的探讨卒中单元管理脑梗死患者的临床疗效。方法该院于2004年7月～2007年12月将收治的370例脑梗死患者随机分为卒中单元组和非卒中单元组进行管理治疗,观察两组的住院病死率、总有效率、平均住院时间和神经功能评价(national institutes of health stroke scale,NIHSS)、生活能力评价(Barthel index,BI)、社会功能评价(Oxford handicap scale,OHS)。结果卒中单元组和非卒中单元组的住院病死率分别为5.94%、14.29%,总有效率分别为88.61%、79.76%,两组比较差异有显著性(P<0.01);两组平均住院时间分别为(17.50±7.35)d和(16.89±7.20)d,两组间差异无统计学意义(P>0.05)。两组出入院NIHSS、BI及OHS平均差值经比较差异有显著性(P<0.05),卒中单元组优于非卒中单元组。结论卒中单元管理模式对脑梗死患者的治疗明显优于普通住院治疗模式。

[Objective] To explore the clinical curative effect of the management in stroke unit （SU） on the patients with cerebral infarction. [Methods] 370 inpatients with cerebral infarction, who were hospitalized in our hospital from June 2004 to December 2007, were randomly divided into stroke unit （SU） group and non-stroke unit group （general ward group） for the management respectively. The key indexes recorded included hospital mortality, total effective rate, average stay, National Institutes of Health Stroke Scale （NIHSS）, Barthel Index （BI）, Oxford Handicap Scale （0HS）. [Results] Hospital mortality in SU group and non-SU group was 5.94% and 14.29% and total effective rate was 88.61% and 79.76%, respectively. There was significant difference between the two groups on the two indexes above-mentioned （P〈0.01）. The average stay in the two groups was （17.50±7.35） d and （16.89±7.20） d, respectively. No significant difference existed between the two groups （P 〉0.05）. There was significant difference in mean gap scores between the day of admission and discharge in NIHSS, BI and OHS （P 〈0.05）. It was approved that SU group surpassed non-SU group in the indexes. [Conclusion] SU management mode excels general ward management mode in the treatment of cerebral infarction inpatients.