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目的：观察常规药物治疗联合个性化分级护理对脑卒中患者预后生活质量的影响。方法将脑卒中患者208例随机分为观察组和对照组各104例。分别给予2组患者吸氧、降血压、血糖水平控制、脱水、神经营养药、维持水电解质平衡和营养摄入等对症支持治疗和阿司匹林、肝素钠注射液、尿激酶及抗生素等常规治疗。对照组给予常规护理方式，观察组给予个性化系统性的分级护理，使用脑卒中专用生存质量评估表对患者生活质量进行评价。结果观察组患者9个月后生存质量调查得分为（196．8±14．1）分高于对照组的（151．4±12．5）分，观察组患者在自理能力、社会活动、思维能力、上肢功能方面评分显著高于对照组，差异均有统计学意义（ P＜0．05）。结论个性化护理有助于提高患者预后的生活质量，及时地接受系统的康复训练有助于脑卒中患者身体状态的恢复。“,”Objective To observe the influences on life quality of stroke patients by conventional drug therapy com -bined with personalized grading nursing .Methods 208 cases of stroke patients were randomly divided into study group and control group,each of 104 cases.Two groups of patients were given oxygen inhalation ,anti-hypertension drugs,blood sugar con-trol,dehydration,neurotrophy drugs,maintaining water electrolyte balance ,nutritional support and other supportive therapies . Besides aspirin , edaravone , heparin sodium injection , urokinase , necessary antibiotics and other conventional treatment were treated in order to control and relieve the disease .Study group was treated by personalized and grading nursing ,while control group was just treated by routine care .Used the specific life quality scale to test those patients with stroke .Results The score of quality of life observation group nine months after was (196.8 ±14.1) higher than (151.4 ±12.5) of control group;The scores in self-care,social activities,thinking ability,upper limb function of observation group were significantly higher than con-trol group,the differences were statistically significant (P<0.05).Conclusion Personalized care can improve the quality of life of patients,promptly system rehabilitation is benefited for restoring physical condition of stroke patients .