Abstract
王志敏,王鹏,陈捷,罗丹红,沈王明.康复联动型卒中单元在地市级医院急性脑梗死治疗中的应用[J].Chinese journal of Epidemiology,2008,29(7):724-725
康复联动型卒中单元在地市级医院急性脑梗死治疗中的应用
Application of stroke rehabilitation unit in municipal hospitals during the acute phase of cerebral infarction
Received:March 01, 2008  
DOI:
KeyWord: 卒中单元  脑梗死  地市级医院
English Key Word: Stroke unit  Cerebral infarction  Municipal hospital
FundProject:浙江省医药卫生科学研究基金项目(2005B175)
Author NameAffiliationE-mail
WANG Zhi-min The Taizhou First Hospital, Zhejiang, Taizhou 318020, China  
WANG Peng The Taizhou First Hospital, Zhejiang, Taizhou 318020, China 1979wwww@163.com 
CHEN Jie The Taizhou First Hospital, Zhejiang, Taizhou 318020, China  
LUO Dan-hong The Taizhou First Hospital, Zhejiang, Taizhou 318020, China  
SHEN Wang-ming The Taizhou First Hospital, Zhejiang, Taizhou 318020, China  
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Abstract:
      目的 评价康复联动型卒中单元在地市级医院急性脑梗死治疗中的疗效。方法 急性 脑梗死患者随机进人康复联动型卒中小组病房(77例)和普通病房(73例),比较治疗前后两组患者神 经功能(NIHSS评分)、日常生活能力(ADL Barthel指数)及住院时间。结果 两组患者治疗前平均 NIHSS评分分别为9.26与9.12(尸>0.05),治疗后分别为2.62与7.64(P<0.01),治疗前平均ADL Barthel指数分别为52.04与53.16(P>0.05),治疗后分别为87.26与64.20(P< 0.01),两组平均住院 日分别为22.25 d及26.67 d(P<0.05)。结论 康复联动型卒中单元模式应用于脑梗死急性期治疗,可改善患者的神经功能及日常生活能力,缩短住院时间,在地市级医院优于普通卒中病房。
English Abstract:
      Objective To evaluate the efficacy of stroke rehabilitation unit in municipal hospitals during the acute phase of cerebral infarction. Methods 77 acute cerebral infarction patients were randomly assigned to stroke rehabilitation unitgroup and 73 to ordinarygroup. The NIH stroke scale (NIHSS), activities of daily living (ADL) Barthel index and average hospitalized time were compared in twogroups before and after the treatment. Results The average NIHSS in twogroups before treatment were 9.26 and 9.12 respectively (P>0.05) but became 2.62 and 7.64 after treatment (P< 0. 01). The average ADL Barthel index in twogroups before the treatment were 52.04 and 53.16 (P〉0.05) but 87.26 and 64.20 after the treatment (P< 0.01). The average hospitalized time in the twogroups were 22.25 and 26.67 days (P <0.05). Conclusion When stroke rehabilitation unit being applied in the acute phase of cerebral infarction, it showed positive results in the following aspects as: improving the neurological function, capabilities of managing daily life, and also shortening the days of hospitalization.
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