综合救治方案对急性脑梗死患者独立生活能力量表指数的影响

Effect of comprehensive treatment programs on Barthel index of acute cerebral infarction

目的探讨综合救治方案对急性脑梗死患者病死率及独立生活能力量表指数(BI)的影响。方法急性脑梗死患者60例随机分为综合救治组和对照组,各30例。对照组采用西医常规治疗,参考美国胸科医师学会(ACCP)和欧洲卒中促进会(EUSI)指南方案治疗,综合救治组在对照组基础上结合中医活血化瘀、熄风涤痰法,给予通心络胶囊、注射用盐酸川芎嗪、中风协定方、急性期醒脑开窍针法和早期康复治疗。2组疗程均为4周;评估2组患者病死率及入院前后BI指数。结果综合救治组BI评分显著高于对照组(P<0.05),综合救治组BI>90百分比明显高于对照组(P<0.05)。综合救治组病死率明显低于对照组(P<0.05)。结论综合救治方案在一定程度上可以改善神经系统后遗症,提高BI指数评分,降低病死率。

Objective To observe the effect of comprehensive treatment programs on case fatality rate Barthel index of acute cerebral infarction.Methods 60 acute cerebral infarction patients were randomly divided into two groups.Patients in control group（n = 30） were treated by conventional western medicine from American College of Chest Physicians（ACCP） and the European Stroke Initiative（EUSI） Guide regimen.Patients in treatment group（n = 30） were treated by Tongxinluo capsule,Ligustrazine hydrochloride injection,Zhongfengxieding prescription,Xingnao Kaiqiao acupuncture and early rehabilitation treatment.The therapeutic course was four weeks in two groups.Case fatality rate and Barthel index（functional independence measure） before and after hospitalization were evaluated by in two groups.Results Barthel index in treatment group was higher than that in control group（P 0.05）.Percentage BI 90 in treatment group was significantly higher（P 0.05）.Mortality in treatment group was lower than that in control group（P 0.05）.Conclusion Comprehensive treatment programs can improve neurological sequelae and improve BI index score and reduce mortality.