CAJ | 학술논문

目的：比较卒中单元医疗管理模式与普通神经内科病房模式治疗急性出血性脑血管病的临床疗效。方法选取2014年11月～2015年4月本院收治的88例急性出血性脑血管病患者作为研究对象，将其随机分为观察组与对照组各44例，其中对照组实施普通神经内科病房模式，观察组实施卒中单元医疗管理模式，最后对两组患者进行卒中量表（NIHSS）、改良Barthel指数（BI）评估。结果治疗前两组NIHSS、BI评分无明显差异（P＞0.05）；治疗后观察组NIHSS、BI评分改善程度优于对照组，两组比较差异有统计学意义（P＜0.05）。结论卒中单元医疗管理模式在急性出血性脑血管病治疗中有应用价值，能改善患者神经功能缺损，提高患者自理能力。
목적：비교졸중단원의료관리모식여보통신경내과병방모식치료급성출혈성뇌혈관병적림상료효。방법선취2014년11월～2015년4월본원수치적88례급성출혈성뇌혈관병환자작위연구대상，장기수궤분위관찰조여대조조각44례，기중대조조실시보통신경내과병방모식，관찰조실시졸중단원의료관리모식，최후대량조환자진행졸중량표（NIHSS）、개량Barthel지수（BI）평고。결과치료전량조NIHSS、BI평분무명현차이（P＞0.05）；치료후관찰조NIHSS、BI평분개선정도우우대조조，량조비교차이유통계학의의（P＜0.05）。결론졸중단원의료관리모식재급성출혈성뇌혈관병치료중유응용개치，능개선환자신경공능결손，제고환자자리능력。
Objective Comparison of stroke unit medical management model and general neurology ward clinical curative effect for the treatment of acute hemorrhagic cerebrovascular disease.Methods 88 cases of acute hemorrhagic cerebrovascular disease were chosen as the research object in November 2014 ~ April 2015 in our hospital, its were randomly divided into observation group and the control group, 44 cases in each group, which controls the implementation of general neurology ward model, implementation of stroke unit medical observation group management mode, ifnally, the two groups of patients with stroke scale (NIHSS) scores, modiifed Barthel index (BI) evaluation. Results Two groups of NIHSS and BI score before treatment has no obvious difference (P>0.05). NIHSS and BI score improvement after treatment group was signiifcantly better than the control group, two groups compare form a signiifcant difference (P<0.05). Conclusion Stroke unit medical management pattern in the treatment of acute hemorrhagic cerebrovascular disease had great applied value, can significantly improve patients with nerve function defect, improve the patients' self-care ability.