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目的探讨在基层医院建立脑卒中单元模式的临床意义。方法将200例脑卒中患者随机分为试验组(100例)和对照组(100例),试验组中出血性脑卒中患者分为A组(36例),缺血性脑卒中患者分为B组(64例)2个亚组;对照组中出血性脑卒中患者分为C组(38例),缺血性脑卒中患者分为D组(62例)2个亚组。试验组按照自行设计的脑卒中单元模式进行治疗,对照组按照传统方法治疗,分别于治疗前、治疗后14天和30天时,对两组神经功能及疗效进行对比分析。结果试验组不论A组患者还是B组患者在治疗后14天和30天时,美国国立卫生研究院脑卒中量表及改良的Rankin分级的积分明显低于对照组(P<0.01),而Barthel指数积分明显高于对照组(P<0.01);经过治疗后,A组患者总有效率(61.1%)高于C组(39.4%,P<0.05);B组患者总有效率(96.8%)高于D组(70.9%,P<0.01)。结论在基层医院按照自行设计的脑卒中单元模式对脑卒中患者进行治疗,其效果明显优于传统治疗。
Objective To explore the clinical significance of establishing stroke unit model in primary hospitals. Methods 200 patients with stroke were randomly divided into experimental group (100 cases) and control group (100 cases). In the experimental group, patients with hemorrhagic stroke were divided into group A (36 cases), ischemic stroke patients were divided into B (64 cases) were divided into 2 subgroups. In the control group, hemorrhagic stroke patients were divided into group C (n = 38) and ischemic stroke patients were divided into group D (n = 62) and 2 subgroups. The experimental group was treated according to the self-designed stroke unit model. The control group was treated according to the traditional method. The neurological function and therapeutic effect of the two groups were compared before treatment, 14 days and 30 days after treatment respectively. Results The scores of NIH Stroke Scale and Modified Rankin Grading were significantly lower in the experimental group than those in the control group (P <0.01), both group A and group B at 14 days and 30 days after treatment. The Barthel Index The total effective rate (61.1%) in group A was higher than that in group C (39.4%, P <0.05). The total effective rate (96.8%) in group B was significantly higher than that in control group (P <0.01) In group D (70.9%, P <0.01). Conclusion Stroke patients are treated according to self-designed Stroke Unit model in primary hospitals, and the effect is obviously better than that of traditional treatment.