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目的研究组织化卒中管理模式对脑卒中患者早期疗效的影响。方法选择2002-01-2006-12脑卒中患者共2 637例,随机进入组织化卒中病房(研究组)和普通神经科病房(对照组),比较两组的病死率、平均住院时间、平均住院费用、生活能力评价(BI)、神经功能评价(NIHSS)、社会功能评价(OHS)。结果虽然卒中单元组和普通病房组平均住院时间、平均住院费用差异无统计学意义(P>0.05),但出院时研究组NIHSS、OHS低于对照组,BI高于对照组,差异均有统计学意义(P<0.05);且卒中单元组住院病死率低。结论组织化卒中管理模式在不增加患者的花费的情况下,能明显降低脑卒中患者的病死率,提高了患者的早期日常生活能力,减少神经功能缺损,从而提高回归社会的能力。
Objective To study the effect of tissue stroke management on the early curative effect of stroke patients. Methods A total of 2637 stroke patients were recruited from January 2002 to December 2006, and randomly divided into two groups: the stroke group (study group) and the general neurology ward (control group). The mortality, average length of stay, average hospital stay, Cost, life skills assessment (BI), neurological function evaluation (NIHSS), social function evaluation (OHS). Results Although the average length of hospital stay and the average cost of hospitalization for stroke unit group and general ward group had no significant difference (P> 0.05), the NIHSS, OHS in the study group were lower than those in the control group, and the BI was higher than that in the control group Significance (P <0.05); and stroke unit inpatient mortality was low. Conclusion The organized stroke management model can significantly reduce the mortality rate of stroke patients, improve the early daily life ability of patients, reduce the neurological deficits and improve the ability to return to the society without increasing the patient’s cost.