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目的通过在二级医院建立延伸卒中单元模式病房,探讨脑血管病新的管理模式及疗效评定。方法将398例住院卒中患者,随机分入卒中单元病房和普通病房,通过对急性期病死率、并发症发生率、Barthel指数(BI)、NIHSS、出院时医疗满意度评分观察,评估近期疗效。通过观察卒中后两年内的复发率、病死率、NIHSS、BI、Hamiltom量表及评估远期疗效。结果卒中单元组急性期病死率、并发症发生率低,患者满意度高,NIHSS、BI相比较,两组间有显著性差异(P<0.05)。卒中后两年内的复发率、病死率卒中单元组低于对照组。结论延伸卒中单元的建立提高了脑血管病患者的近期及远期疗效。
Objective To establish an extended stroke unit model ward in secondary hospital to explore a new management model of cerebrovascular disease and evaluate its curative effect. Methods 398 hospitalized stroke patients were randomly divided into stroke unit ward and general ward. The immediate effect was evaluated by observing the mortality, the incidence of complications, the Barthel Index (BI), NIHSS and the medical satisfaction score at discharge. The relapse rate, case fatality rate, NIHSS, BI, Hamiltom scales and evaluation of long-term outcomes were evaluated by observing the two-year stroke. Results There was a significant difference (P <0.05) between acute stroke mortality rate, complication rate, patient satisfaction, NIHSS and BI in stroke unit group. The relapse rate and mortality rate within two years after stroke were lower in stroke unit group than in control group. Conclusion The establishment of extended stroke units improves the short-term and long-term outcomes of patients with cerebrovascular disease.