CAJ | 학술논문

218例缺血性卒中首发、高危患者出院后随机分成管理组和对照组,管理组行多学科疾病管理模式、对照组行普通管理模式管理.管理6个月后,管理组患者功能独立测定(FIM)评分、美国国立卫生院卒中量表(NIHSS)评分改善情况优于对照组,分别为(89±28)与(81±26)分和(13.9 ±5.6)与(16.1 ±6.9)分(均P＜0.05);收缩压和舒张压的变化较对照组明显,分别为(131±17)与(137 ±23)mmHg(1 mmHg =0.133 kPa)和(81 ±10)与(85±15) mmHg(均P＜0.05);LDL-C呈下降趋势,分别为(2.54 ±0.75)与(2.81 ±0.65) mmol/L(P =0.01);再入院患者数亦明显减少(P=0.04).提示对高危卒中患者提供多学科疾病管理模式管理能够提高患者生存质量、危险因素控制效果,改善预后.
218례결혈성졸중수발、고위환자출원후수궤분성관리조화대조조,관리조행다학과질병관리모식、대조조행보통관리모식관리.관리6개월후,관리조환자공능독립측정(FIM)평분、미국국립위생원졸중량표(NIHSS)평분개선정황우우대조조,분별위(89±28)여(81±26)분화(13.9 ±5.6)여(16.1 ±6.9)분(균P＜0.05);수축압화서장압적변화교대조조명현,분별위(131±17)여(137 ±23)mmHg(1 mmHg =0.133 kPa)화(81 ±10)여(85±15) mmHg(균P＜0.05);LDL-C정하강추세,분별위(2.54 ±0.75)여(2.81 ±0.65) mmol/L(P =0.01);재입원환자수역명현감소(P=0.04).제시대고위졸중환자제공다학과질병관리모식관리능구제고환자생존질량、위험인소공제효과,개선예후.
A total of 218 outpatients with first-episode and high-risk ischemic strokes were randomly divided into management and control groups.Management group received multidisciplinary disease care mode while control group common disease care mode.The results showed that the functional independent measures (FIM) score of management group improved dramatically (89 ± 28 vs.81 ± 26,P =0.04).The National Institutes of Health Stroke Scale (NIHSS) score changed significantly (13.9 ± 5.6 vs.16.1 ± 6.9,P =0.02).Systolic blood pressure significantly changed [(131 ± 17) vs.(137 ±23) mmHg(1 mmHg =0.133kPa),P=0.04].Diastolic blood pressure significantly changed [(81 ± 10) vs.(85 ± 15) mmHg,P =0.03] ; Low density lipoprotein decreased [(2.54 ± 0.75) vs.(2.81 ± 0.65) mmol/L,P =0.01].The number of readmitted patients also decreased significantly (P =0.04).Thus muhidisciplinary disease care mode could enhance the qualityof-life,control risk factors and improve patient prognosis.