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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。
Objective To establish and operate a joint stroke unit in secondary hospitals to explore new management models and effectiveness evaluation of cerebrovascular diseases in primary hospitals. Methods A total of 194 patients with acute stroke were enrolled in the study. Patients in the observation group (combined stroke unit) and the control group (general ward) were enrolled in the study. Patients were followed up for 4 weeks. Barthel index, Fugl-Meyer assessment and Hamilton Depression Scale Assess, compare the comprehensive rehabilitation of patients. Results There was no significant difference between the two groups before treatment (P> 0.05). After treatment, the difference between the control group and the observation group was statistically significant (P <0.05), and the difference between the control group and the control group after treatment The difference was statistically significant (P <0.05). Conclusions The treatment of both groups of patients is effective, but the effect of combined stroke unit is more obvious. The combined stroke unit is a better management mode for the implementation of cerebrovascular disease in primary hospitals.