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目的:研究中西医结合卒中单元对脑卒中患者的临床疗效。方法:选择脑卒中住院病人350例,随机分为治疗组200例和对照组150例。两组在治疗基础上,观察神经功能缺损评分(National Institutes of Health stroke scale,NIH-SS)、简易精神状态检查(Mini-Mental State Examination,MMSE)、抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分和进行医疗费用、住院时间以及卫生经济学评价。结果:治疗后治疗组病人的神经功能缺损评分、认知功能评分、医疗费用、住院时间以及卫生经济学与对照组病人比较差异均有统计学意义(P<0.05或P<0.01)。结论:中西医结合卒中单元能够减少脑卒中患者神经功能缺损评分等指标,具有较好的临床疗效。
Objective: To study the clinical efficacy of integrated traditional Chinese and western medicine stroke unit in patients with stroke. Methods: 350 inpatients with stroke were selected and randomly divided into treatment group (200 cases) and control group (150 cases). On the basis of the treatment, the two groups were observed on the National Institutes of Health Stroke Scale (NIH-SS), Mini-Mental State Examination (MMSE), Self-rating Depression Scale , SDS), Self-rating Anxiety Scale (SAS) score, and medical costs, length of stay, and health economics. Results: After treatment, the neurological impairment scores, cognitive function scores, medical costs, hospitalization time, and health economics of the treatment group were significantly different from those of the control group (P <0.05 or P <0.01). Conclusion: The TCM-WM combined stroke unit can reduce the neurological deficit scores and other indexes in patients with stroke, and has good clinical efficacy.