建立卒中单元对脑卒中治疗效果的影响

The curative effect of establishing stroke unit in treatment of the patients with stroke

目的探讨基层医院建立卒中单元对脑卒中治疗效果的影响。方法220例脑卒中患者按入院单双号随机分为A组（110例）及B组（110例），A组建立脑卒中单元，按程序进行治疗，B组按脑卒中治疗常规进行，采用临床神经功能缺损评分（Barthel指数、NIHSS、OHS）评价疗效，比较两组住院病死率、并发症发生率及BI、NIHSS、OHS的差异。结果A组病死率明显低于B组（x2=3．12，P〈0．05）。并发症发生情况：A组明显低于B组（X2=12．22，P〈0．05）；A组治疗后Barthel指数、NIHSS评分、OHS评分与B组的比较，差异均有统计学意义（t=11．17、2．31、3．96，均P〈0．05）。结论采用卒中单元治疗脑卒中临床效果明显好于传统治疗方法。

Objective To investigate the curative effects of establishing stroke unit in treatment of the patients with stroke in primary hospital. Methods 220 patients in hospital who matched the standard were enroued in the study. All patients were assigned either into stroke unit group（ Group A ,n = 110） or general ward group（ Group B, n = 110）. The data of the patients of the two groups were compared. The key indexes including mortality and complication were recorded, and other parameters including National Institutes of Barthel Index （ BI）, Health Stroke Scale （ NIHSS）, Oxford Handicap Scale（OHS） were observed. Results The mortality and the complications rate of groups A were less than that in Groups B （ X2 = 3.12, P 〈 0. 05, X2 = 12.22, P 〈 0.05 ）. The improving extent of all scores （BI,NIHSS,OHS） in SU group A were significantly different with that in group B. （t = 11.17,2. 31,3. 96, all P 〈 0. 05）. Conclusion The patients treated by stroke unit could gain evidently better prognosis than traditional therapy in primary hospital.