中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2010年
9期
721-724
,共4页
张国平%屈晓霞%薛萍%冯欢霞
張國平%屈曉霞%薛萍%馮歡霞
장국평%굴효하%설평%풍환하
脑血管意外%康复%医师诊疗模式
腦血管意外%康複%醫師診療模式
뇌혈관의외%강복%의사진료모식
Cerebrovascular accident%Rehabilitation%Physician's practice patterns
目的 比较老年脑卒中住院患者普通模式和卒中单元模式治疗结果的差异,探讨脑卒中治疗的规范化管理模式,提高疗效,减轻病残程度,降低病死率.方法 2002年4月至2007年4月入住我院的急性脑血管病患者1200例,按单双数入住卒中单元和普通病房.观察指标包括病死率、住院时间、生活能力评价(BI)、神经功能评价(NIHSS)、社会功能评价(OHS),出院时患者或家属满意度评分,分析卒中单元的效果.结果 卒中单元组并发症和病死率明显低于普通病房组,病死率分别为5.0%和13.5%(χ2=26.66,P<0.01);出院时BI、NIHSS、OHS、满意度评分比较,卒中单元组明显优于普通病房组(P<0.05);卒中单元组住院时间短于普通病房组,分别为(24.1±9.1)d和(25.3±10.5)d(t=2.12,P<0.05),但两组住院费用差异无统计学意义(P>0.05).结论 卒中单元模式有利于脑卒中患者治疗和康复,可改善患者肢体活动能力,提高生活质量,降低病死率;与传统疗法相比,不会增加患者费用.
目的 比較老年腦卒中住院患者普通模式和卒中單元模式治療結果的差異,探討腦卒中治療的規範化管理模式,提高療效,減輕病殘程度,降低病死率.方法 2002年4月至2007年4月入住我院的急性腦血管病患者1200例,按單雙數入住卒中單元和普通病房.觀察指標包括病死率、住院時間、生活能力評價(BI)、神經功能評價(NIHSS)、社會功能評價(OHS),齣院時患者或傢屬滿意度評分,分析卒中單元的效果.結果 卒中單元組併髮癥和病死率明顯低于普通病房組,病死率分彆為5.0%和13.5%(χ2=26.66,P<0.01);齣院時BI、NIHSS、OHS、滿意度評分比較,卒中單元組明顯優于普通病房組(P<0.05);卒中單元組住院時間短于普通病房組,分彆為(24.1±9.1)d和(25.3±10.5)d(t=2.12,P<0.05),但兩組住院費用差異無統計學意義(P>0.05).結論 卒中單元模式有利于腦卒中患者治療和康複,可改善患者肢體活動能力,提高生活質量,降低病死率;與傳統療法相比,不會增加患者費用.
목적 비교노년뇌졸중주원환자보통모식화졸중단원모식치료결과적차이,탐토뇌졸중치료적규범화관리모식,제고료효,감경병잔정도,강저병사솔.방법 2002년4월지2007년4월입주아원적급성뇌혈관병환자1200례,안단쌍수입주졸중단원화보통병방.관찰지표포괄병사솔、주원시간、생활능력평개(BI)、신경공능평개(NIHSS)、사회공능평개(OHS),출원시환자혹가속만의도평분,분석졸중단원적효과.결과 졸중단원조병발증화병사솔명현저우보통병방조,병사솔분별위5.0%화13.5%(χ2=26.66,P<0.01);출원시BI、NIHSS、OHS、만의도평분비교,졸중단원조명현우우보통병방조(P<0.05);졸중단원조주원시간단우보통병방조,분별위(24.1±9.1)d화(25.3±10.5)d(t=2.12,P<0.05),단량조주원비용차이무통계학의의(P>0.05).결론 졸중단원모식유리우뇌졸중환자치료화강복,가개선환자지체활동능력,제고생활질량,강저병사솔;여전통요법상비,불회증가환자비용.
Objective To compare the differences in curative effect between general treatment model and stroke unit model in the treatment of stroke in the elderly inpatients, to explore the standardized management model, for improving efficacy and reducing the degree of invalidity and mortality. Methods A total of 1200 cases with acute cerebrovascular disease were admitted into our department from April 2002 to April 2007. All patients were randomly assigned either into stroke unit or general ward to receive treatment, and the data of two groups were compared. The key indexes included mortality, hospitalization time, Barthel Index (BI), National Institutes of Health Stroke Scale (NIHSS) and Oxford Handicap Scale (OHS). All the patients or their family members were asked to have the Visual Analogue Scales (VAS). The data of cost and effect were analyzed with SPSS software. Results The complication rate and mortality rate were significantly lower in stroke unit group than in general ward group (P＜ 0.01). The scales of BI, NIHSS, OHS and VAS were significantly better in stroke unit group than in general ward group when discharged (P＜0.05). The hospitalization time was shorter in stroke unit group than in general ward group (P＜0.05). There was no significant difference in the costs of hospitalized patients between the two groups (P＞0.05).Conclusions Stroke unit model can improve the physical activity and life quality of patients and reduce disease mortality without increasing the cost of patients.
