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目的通过在基层医院建立和运作康复卒中单元,以探讨脑血管病新的管理模式及效果评定。方法将病情稳定、Barthel指数(BI)评分低于40分的570例脑卒中患者分别在康复卒中单元(观察组)和普通病房(对照组)进行为期3周的相关治疗,运用BI、Fugl-Meyer评估(FMA)以及汉密尔顿抑郁量表(HAMD)对患者日常生活活动能力、肢体运动功能以及抑郁和焦虑程度进行评定,比较患者的综合康复疗效。结果治疗前BI、FMA、HAMD在2组间均无显著差异(P>0.05);治疗后对照组以及观察组与其治疗前相比均有显著差异(P<0.05),观察组与对照组治疗后相比也有显著差异(P<0.05)。结论2组患者的治疗均有效,但康复卒中单元的效果更明显;康复卒中单元是基层医院实施脑血管病治疗更好的管理模式。
Objective To establish a rehabilitation stroke unit in a primary hospital to discuss the new management model of cerebrovascular disease and its effect assessment. Methods A total of 570 stroke patients with stable disease and a Barthel Index (BI) score of less than 40 scores were treated in the rehabilitation stroke unit (observation group) and general ward (control group) for 3 weeks, using BI, Fugl- The Meyer Assessment (FMA) and the Hamilton Depression Rating Scale (HAMD) evaluated the activities of daily living, limb motor function, and the degree of depression and anxiety, and compared the patients’ comprehensive rehabilitation effects. Results There was no significant difference in BI, FMA and HAMD between the two groups before treatment (P>0.05). After treatment, there was a significant difference between the control group and the observation group before treatment (P<0.05). The observation group and the control group were treated. There was also a significant difference (P<0.05). Conclusion The treatment of both groups is effective, but the effect of rehabilitation stroke unit is more obvious; rehabilitation stroke unit is a better management mode for the treatment of cerebrovascular disease in primary hospitals.