联合卒中单元在二级医院的运作与效果评价
Operating and effect evaluation of joint stroke unit in the secondary hospital
边双义 1张淑芳 1冯建伟1
作者信息
- 1. 河北省安国市医院神经内科 071200
- 折叠
摘要
目的 通过在二级医院建立和运作联合卒中单元,以探讨基层医院脑血管病新的管理模式及效果评定.方法 选择急性脑卒中患者194例,随机进入观察组(联合卒中单元)和对照组(普通病房),进行为期4周的相关治疗,运用Barthel指数、Fugl-Meyer评估以及汉密尔顿抑郁量表对患者进行评定,比较患者的综合康复疗效.结果 治疗前2组间差异均无统计学意义(P＞0.05)；治疗后对照组以及观察组与其治疗前相比差异均有统计学意义(P＜0.05),观察组与对照组治疗后相比差异有统计学意义(P＜0.05).结论 2组患者的治疗均有效,但联合卒中单元的效果更明显；联合卒中单元是基层医院实施脑血管病治疗更好的管理模式.
Abstract
Objective To explore and evaluate new management model of cerebrovascular disease in Primary Hospital through building and operating joint stroke unit in the secondary hospital. Methods 194 patients with acute stroke were divided into observation group(in joint stroke unit) and control group(in general ward) randomly. They were given relevant treatment respectively for 4 weeks. The activities of daily living, motor function of limbs and depression and anxiety level of patients were evaluated by means of BI, Fugl-Meyer evaluation(FMA) and Hamilton depression scale(HAMD). Then comparison of the clinical comprehensive effect was made. Results Before treatment there were no significant difference between the two groups(P>0. 05) .while after treatment there were significant difference!P<0. 05). There was also significant difference(P<0. 05) in the two groups after treatment. Conclusion The treatments for the two groups are both effective,but the clinical effect of joint stroke unit is more obvious; the joint stroke unit is a better management mode of treatment for cerebrovascular disease in basic level hospital.
关键词
卒中/治疗/疾病管理Key words
Stroke/therapy/Disease Management引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据