中西医结合卒中单元模式下治疗急性脑卒中156例

中国临床药理学与治疗学 ›› 2012, Vol. 17 ›› Issue (5): 559-561.

中西医结合卒中单元模式下治疗急性脑卒中156例

朱金刚¹, 谢丹丹¹, 程茂良²

¹浙江省温岭市第一人民医院神经内科, ²检验科,温岭 317500,浙江

收稿日期:2012-03-15 修回日期:2012-04-28 出版日期:2012-05-26 发布日期:2012-05-28
作者简介:朱金刚,男,主治医师,主要研究方向:神经内科临床。Tel: 13906868806 E-mail: zhujg1010@163.com

Clinical observation on integrated traditional Chinese and western medicine stroke unit therapy in treatment of 156 patients with cerebral stroke

ZHU Jin-gang¹, XIE Dan-dan¹, CHENG Mao-liang²

¹Department of Neurology, ²Department of Laboratory, Wenling First People's Hospital, Wenling 317500, Zhejiang, China

Received:2012-03-15 Revised:2012-04-28 Online:2012-05-26 Published:2012-05-28

摘要/Abstract

摘要： 目的:探讨运用中西医结合卒中单元模式治疗急性脑卒中的优越性。方法: 将全部 298 例急性脑卒中患者随机分为两组。治疗组 156例采用中西医结合卒中单元治疗, 对照组 142例应用西药常规治疗。观察两组 14 日内病死率、死亡原因、感染发生率和随访 21 日欧洲卒中积分(ESS)和90日Barthel运动能力和日常生活活动能力指数(MBI) 。结果: 治疗组14日内病死率为 3.8%,其中死于非脑内原因者占 16.7%, 感染发生率 22.4%; 对照组分别为 6.3%、33.3%、26.8%。两组比较有统计学差异(P<0.01)。21日ESS评分治疗组为(84.6±11.1) 分,对照组为(68.1±10.4) 分; 随访90日MBI积分有统计学差异(P<0.01)。结论:中西医结合卒中单元模式下急性脑卒中患者的预后, 比常规治疗模式具有优越性。

关键词: 中西医结合, 脑梗塞

Abstract: AIM: To explore the superiority of integrated traditional Chinese and western medicine stroke unit in treating cerebral stroke.METHODS: 298 patients with acute cerebral stroke onset were randomly divided in to two groups. 156 patients in the treatment group were treated with the integrated traditional Chinese and western medicine stroke unit and 142 patients were given the routine western therapy. The mortality rate, the cause of death, the infection rate, European stroke score ( ESS) in the day 21, the modified Bar index (MBI) of movement capability and daily activity in day 90 were observed.RESULTS:The mortality rate within 14 days in the treatment group was 3.85%, 16.7% of which was not of intracerebral causes and the infection rate was 22.4%. Compared with the control group, which were 6.34%, 33.3% and 26.76%, respectively, there were significant differences between the two groups (P<0.01). The nerve function score in the day 21 in the treatment group and the control group was (84.6±11.1) score and (68.1±10.4) score respectively (P<0.01). There was a significant difference of MBI in the day 90 between the two groups (P<0.01).CONCLUSION: Integrated traditional Chinese and western medicine stroke unit have advantage over the routine treatment model on acute cerebral stroke.

Key words: TCM combined western medicine, Cerebrovascular accident

中图分类号:

朱金刚, 谢丹丹, 程茂良. 中西医结合卒中单元模式下治疗急性脑卒中156例[J]. 中国临床药理学与治疗学, 2012, 17(5): 559-561.

ZHU Jin-gang, XIE Dan-dan, CHENG Mao-liang. Clinical observation on integrated traditional Chinese and western medicine stroke unit therapy in treatment of 156 patients with cerebral stroke[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2012, 17(5): 559-561.

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