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目的:观察中西医结合卒中单元治疗超早期脑梗死的临床疗效。方法:用随机数字表法将符合入组标准的70例超早期脑梗死患者分为中西医结合卒中单元(治疗组)和普通病房(对照组)两组。疗效观察指标为治疗前后NIHSS评分、FIM评分以及死亡率和复发率的变化。结果:两组患者的NIHSS评分、FIM评分较入院时均有所改善,差异具有统计学意义(P<0.05)。但治疗组在各方面均优于对照组,其差异具有统计学意义(P<0.05);治疗组1年后的病死率和复发率均明显低于对照组。结论:中西医结合卒中单元能明显促进超早期脑梗死患者神经功能恢复,降低病死率和复发率。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine stroke unit in the treatment of ultra-early cerebral infarction. Methods: Seventy patients with ultra-early cerebral infarction, which met the inclusion criteria, were divided into two groups according to the random number table (Stroke Unit for Integrative Chinese and Western Medicine (treatment group) and general ward (control group. Efficacy indicators for the NIHSS score before and after treatment, FIM score and mortality and recurrence rate changes. Results: The NIHSS scores and FIM scores of both groups were improved as compared with admission, the difference was statistically significant (P <0.05). However, the treatment group was better than the control group in all aspects, the difference was statistically significant (P <0.05); the mortality and recurrence rate of the treatment group after 1 year were significantly lower than the control group. Conclusion: The TCM-WM combined stroke unit can significantly promote the recovery of neurological function, reduce the mortality and relapse rate in patients with ultra-early cerebral infarction.