组织化卒中管理模式对脑卒中患者临床疗效的影响

Impact of organized stroke ward on the therapeutic effect in stroke patients

目的研究组织化卒中管理模式对脑卒中患者临床疗效的影响。方法自2002年1月至2006年12月的脑卒中患者共2637例,随机进入组织化卒中病房(研究组)和普通神经科病房(对照组),比较两组的病死率、未愈率、好转率、治愈率。结果研究组病死率、未愈率、好转率、治愈率分别为2.00%、0.90%、74.94%和22.16%;对照组则为3.26%、1.02%、74.01%及21.71%。研究组的病死率较对照组明显减少(P<0.05),而研究组与对照组的未愈率、好转率、治愈率比较差异无统计学意义(P>0.05)。结论组织化卒中管理模式对减少脑卒中患者病死率较普通神经科病房更具有优越性。

Objective To study the impact of organized stroke ward on the therapeutic effect in stroke patients. Methods A total of 2637 patients with acute stroke were randomly assigned to organized stroke ward or the general ward for treatment, and the rates of mortality, nonrecovery, improvement, and recovery were compared between the two groups. Results The rates of mortality, nonrecovery, improvement, and recovery in 5 years were 2.00%, 0.90%, 74.94% and 22.16% respectively in the organized stroke ward group, as compared to 3.26%, 1.02%, 74.01% and 21.71% in the general ward group, respectively. The mortality rate was significantly lower in organized stroke ward （P0.05）, but no significant difference was found in the rates of nonrecovery, improvement, or recovery between the two groups （P0.05）. Conclusion Admission of the stroke patients in organized stroke ward for treatment can be associated with lowered mortality rate.