中西医结合卒中单元模式下治疗急性脑卒中156例

Clinical observation on integrated traditional Chinese and western medicine stroke unit therapy in treatment of 156 patients with cerebral stroke

目的:探讨运用中西医结合卒中单元模式治疗急性脑卒中的优越性。方法:将全部298例急性脑卒中患者随机分为两组。治疗组156例采用中西医结合卒中单元治疗,对照组142例应用西药常规治疗。观察两组14日内病死率、死亡原因、感染发生率和随访21日欧洲卒中积分(ESS)和90日Barthel运动能力和日常生活活动能力指数(MBI)。结果:治疗组14日内病死率为3.8%,其中死于非脑内原因者占16.7%,感染发生率22.4%;对照组分别为6.3%、33.3%、26.8%。两组比较有统计学差异(P<0.01)。21日ESS评分治疗组为(84.6±11.1)分,对照组为(68.1±10.4)分;随访90日MBI积分有统计学差异(P<0.01)。结论:中西医结合卒中单元模式下急性脑卒中患者的预后,比常规治疗模式具有优越性。

To explore the superiority of integrated traditional Chinese and western medicine stroke unit in treating cerebral stroke. METHODS： 298 patients with acute cerebral stroke onset were randomly divided in to two groups. 156 patients in the treatment group were treated with the integrated traditional Chi- nese and western medicine stroke unit and 142patients were given the routine western therapy. The mortality rate, the cause of death, the in- fection rate, European stroke score （ESS） in the day 21, the modified Bar index （MBI） of movement capability and daily activity in day 90 were observed. RESULTS： The mortality rate within 14 days in the treatment group was 3.85%, 16.7% of which was not of intracere- bral causes and the infection rate was 22.4%.Compared with the control group, which were 6.34%, 33.30% and 26.76%, respectively, there were significant differences between the two groups （P 〈0. 01）. The nerve function score in the day 21 in the treatment group and the control group was （84.6±11.1） score and （68.1±10.4） score respectively （P〈0.01）.There was a significant difference of MBI in the day 90 between the two groups （P〈0.01）. CONCLUSION. Integrated traditional Chinese and western medicine stroke unit have advantage over the routine treatment model on acute cere- bral stroke.