基于卒中单元理念治疗在粤西地区重症脑卒中患者中的应用

Clinical Investigation of Treatment of Severe Stroke Based on the Concept of Stroke Unit in Western Guangdong

目的:探讨基于卒中单元理念治疗在粤西地区重症脑卒中患者中的临床应用效果。方法:选取2014年1月-2015年6月我院收治的重症脑卒中患者共180例,随机分为观察组(90例)与对照组(90例),分别接受基于卒中单元理念的针对性治疗与神经科常规住院治疗。收集两组患者治疗前后的Fugl-Meyger评分、日常生活活动能力评分(ADL)与美国卫生研究院脑卒中量表评分(NIHSS)等数据并进行对比分析。结果:经过不同治疗后,两组患者三项评分均有显著提升(P<0.05),但治疗后第6周两组患者相比,观察组患者Fugl-Meyger评分、ADL评分高于对照组,NIHSS评分低于对照组(P<0.05)。结论:对粤西地区重症脑卒中患者应用基于卒中单元理念的治疗,降低重症脑卒中病死率,显著降低患者神经功能损伤程度,促进其运动功能恢复,提高日常生活能力,改善患者生活质量。

Objective ：To investigate the clinical effect of stroke unit in the treatment of patients with severe stroke in Western Guangdong. Methods ：180 cases in our hospital from Jan 2014 to Jun 2015 were enrolled in the study. All cases were divided into 2 groups randomly, 90 cases in each group. Patients in the observation group received stroke unit treatment, and patients in the control group received routine neurological treatment. The data including Fugl-Meyger score, ADL score（ADL） and the National Institutes of Health Stroke Scale（NIHSS） were compared before and after treatment in the two groups. Results ： After different treatment, the three scores in both groups were significantly improved（P〈0.05）, but after six weeks of treatment, Fugl-Meyger score, ADL score in observation group were higher than those of control group. NIHSS score was lower（P〈0.05） in the observation group.Conclusions ： Stroke unit treatment used in Western Guangdong can significantly reduce the degree of damage of nerve function, promote the recovery of the motor function, improve the ability of daily life, and the quality of life.