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目的 探讨综合性治疗 [卒中单元 ,(strokeunit) ]模式对急性脑卒中治疗的优越性。方法 选择在澳大利亚卒中单元治疗的 2 0 7例急性脑卒中病人为A组 ,同期在我科常规治疗的 32 6例为B组。入选标准统一为经CT或MRI确诊发病 48h内的急性脑卒中 ,比较两组主要临床指标。结果 A组 1 4d内病死率为 5 3 % ,其中死于非脑内原因占 2 7 3 % ,感染发生率 1 7 9% ,而B组分别为1 0 4%、64 7%、47 9% ,差异具有显著性 (P <0 0 1 )。 2 1d神经功能评分和随访 90dRankin积分差异也有显著性 (P <0 0 1 )。结论 在综合性治疗模式下急性脑卒中患者的预后 ,比在我科常规治疗模式下的疗效更具有优越性
Objective To explore the superiority of comprehensive treatment [strokeunit] for acute stroke. Methods A total of 207 acute stroke patients treated with stroke unit in Australia were Group A, and 32 6 patients treated routinely in our department were Group B in the same period. The selected criteria were unified for acute stroke within 48 hours after CT or MRI diagnosis. The main clinical indexes of the two groups were compared. Results The mortality rate within 14 days in group A was 53%, of which 27.3% died of non-intracerebral causes and the incidence of infection was 17.9%, while those in group B were 104%, 647% and 479, respectively %, The difference was significant (P <0.01). Neurological deficit scores at 21d were also significantly different from those at follow-up 90d (P <0.01). Conclusion The prognosis of patients with acute stroke in general treatment mode is more superior than the curative effect in the conventional treatment of our department