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目的观察中西医结合卒中单元对出血性中风患者神经功能的影响。方法急性脑出血患者80例,随机分为中西医结合卒中单元组(40例)和常规卒中单元组(40例),21d相关治疗后,观察神经功能缺损指标变化情况。结果中西医结合组及常规组治疗21d后与治疗前神经功能缺损程度比较,差异均有统计学意义(P均<0.01);中西医结合组患者在治疗21d后神经功能缺损改善优于常规组(10.58±4.36vs13.71±4.81,P<0.05)。按统一标准进行神经功能缺损评分疗效判定,中西医结合组显效率高于常规组(25.6%vs12.8%,P<0.05)。结论中西医结合卒中单元治疗能够促进急性期出血性中风患者脑神经功能恢复,降低致残率,且疗效优于常规卒中单元治疗。
Objective To observe the effect of integrated traditional Chinese and western medicine stroke unit on neurological function in patients with hemorrhagic stroke. Methods A total of 80 patients with acute cerebral hemorrhage were randomly divided into two groups: 40 patients in combination with traditional Chinese and western medicine (Stroke unit) and 40 patients in conventional stroke unit (Stroke unit) group. After 21 days of treatment, the change of neurological deficit index was observed. Results Compared with the control group, the difference of neurological deficit between the TCM-WM group and the control group after 21 days of treatment was statistically significant (P <0.01). The improvement of neurological deficit in the TCM-WM group was better than that of the conventional group (10.58 ± 4.36 vs 13.71 ± 4.81, P <0.05). Neurological deficit scores were evaluated according to uniform standards. The effective rate of Integrative Medicine group was significantly higher than that of the conventional group (25.6% vs 12.8%, P <0.05). Conclusion The treatment of TCM-WM combined stroke unit can promote the recovery of cranial nerve function and reduce the morbidity of disability in patients with acute hemorrhagic stroke, and its curative effect is better than that of conventional stroke unit.