卒中单元管理模式下治疗脑室出血铸型100例

Treatment of Casting Intraventricular Hemorrhage of 100 Cases under the Management Mode of Stroke Unit

目的:观察卒中单元对重症脑室出血铸型的治疗效果。方法:将100例脑室出血铸型患者分为卒中单元组(SU组)和普通病房组(对照组),两组均采用微创钻颅及脑脊液置换治疗,SU组按照标准化操作程序,给予规范的综合治疗及康复,对照组亦给予相应的康复治疗。在治疗前后对比分析两组患者的感染率、病死率、住院时间和费用及神经功能(NIHSS)评价。结果:治疗后,与对照组比较,SU组的感染发生率、病死率及住院时间显著降低,NIHSS评定显著改善。结论:卒中单元模式综合管理治疗重症脑室出血铸型患者的疗效显著优于普通住院治疗模式。

Objective：To observe the curative effects of stroke unit combined hyperbaric oxygen（HBO） on severe intraventricular hemorrhage patients. Method：100 inpatients with severe intraventricular hemorrhage were divided into SU group（n=52） and control group（n=48）.Two groups were treated with minimally invasive skull and purification of their cerebrospinal fluid as a basic treatment,SU group received normative management and HBO treatment. The key indexes recorded included in infectious rate,hospital mortality rate,expense and days of hospitalization,National Institutes of Health Stroke Scale（NIHSS）. Result：After the treatment,there were significant difference in the infectious rate,hospital mortality rate,and days of hospitalization,NISS between SU group and control group（P〈0.05）.Conclusion：The combination of HBO and SU management mode excels is better than general ward management in the treatment of severe intraventricular hemorrhage.