卒中单元重症监护应用于急性重症脑卒中的临床优势

Clinical advantages of stroke intensive care unit in the treatment of acute severe stroke

目的探讨卒中单元重症监护应用于急性重症脑卒中的临床优势。方法本院2011年9月-2014年2月收治的160例重症脑卒中患者作为研究对象,按照经济因素分为观察组和对照组,两组均给予相同的内科综合治疗。对照组患者在普通病房接受护理,观察组患者在卒中单元重症监护病房接受护理。结果经过治疗和护理,两组NIHSS评分均有显著性降低,GCS评分均有显著性升高。但观察组改善程度显著大于对照组（均P〈0.01）。结论卒中单元重症监护不仅有利于提供更具针对性和个体性的护理,而且也能为临床治疗提供更有价值的参考,从而更好的改善病情,如果患者经济情况尚可,建议优先考虑卒中单元重症监护。

Objective To explore the clinical advantages of stroke intensive care unit in the treatment of acute severe stroke. Methods 160 patients with severe stroke cured in our hospital from September 2011 to February 2014 were selected as the research objects, which were divided into observation group and control group according to the economic factors. All the patients in the two groups were given comprehensive medical treatment. Patients in control group received care in general ward. Patients in observation group received care in stroke intensive care unit. Results After treatment and care, NIHSS scores of the two groups were all significantly reduced, and GCS score were all significantly increased. But the degree of improvement in the observation group was significantly higher than the control group（P 〈0.01）. Conclusion Stroke intensive care unit was beneficial to provide more targeted and individuality care, and also could provide valuable reference for clinical treatment, so as to better improve the condition. If the economy were acceptable, Stroke Intensive Care Unit was the priority recommended.