中西医结合卒中单元临床研究

Clinical Research of Stroke Unit of Integrated Traditional and Western Medicine

目的:研究中西医结合卒中单元对脑卒中患者的临床疗效。方法:选择脑卒中住院病人350例,随机分为治疗组200例和对照组150例。两组在治疗基础上,观察神经功能缺损评分(National Institutes of Health stroke scale,NIH-SS)、简易精神状态检查(Mini-Mental State Examination,MMSE)、抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分和进行医疗费用、住院时间以及卫生经济学评价。结果:治疗后治疗组病人的神经功能缺损评分、认知功能评分、医疗费用、住院时间以及卫生经济学与对照组病人比较差异均有统计学意义(P<0.05或P<0.01)。结论:中西医结合卒中单元能够减少脑卒中患者神经功能缺损评分等指标,具有较好的临床疗效。

Objective：Study Stroke Unit of stroke disease clinical efficacy. Methods ：350 cases of stroke patients were randomized into the stroke unit in the WM group （treatment group） and Western medicine control group,200 cases of stroke unit group, 150 cases of the control group,the main observations include neurological evaluation indicators （NIHSS）, cognitive function ex- amination （MMSE）, self- rating depression scale （SDS）, Self-rating Anxiety Scale （SAS） and medical costs, length of stay in hospital and health economics evaluation. Results ： After treatment, treatment group patients neurological, cognitive function, medi- cal expenses, hospitalization time and Health Economics compared with control group patients, differences were statistically significant （P 〈 0.05 or P 〈 0.01 ）. Conclusion： Stroke unit in the traditional Chinese and western medicine can reduce the neurological deficit, and has better clinical efficacy.