摘要
目的探究分析比较卒中单元综合治疗与传统普通病房单一药物治疗对脑梗死躯体症状及精神心理障碍的疗效。方法选取我院2009年1月~2016年9月收治的86例新发脑梗死患者,按治疗方式分为卒中单元组(43例行卒中单元综合治疗)和对照组(43例行常规药物治疗),比较两组在发病2、4、6、8、10、12周时神经功能缺失评分(NIHSS)、日常生活能力指数(BI指数)及汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分并进行评估;比较两组患者住院时间及治疗效率。结果在两组患者基线资料无明显差异的情况下,发病6周后卒中单元组较对照组同期NIHSS评分及BI指数比较差异有统计学意义(P<0.05)。两组患者在发病2~6周时HAMA评分HAMD评分均改善不显,有加重趋势,但卒中单元组自6周以后HAMA评分HAMD评分有明显改善(P<0.05),而对照组自6周后HAMA及HAMD评分没有明显改善(P>0.05),两组同期数据自6周后比较差异有统计学意义(P<0.05);卒中单元组的住院时间(15.89±2.56)d与对照组住院时间(19.78±1.25)d相比,差异有统计学意义(P<0.05);卒中单元组患者的总有效率为90.70%,对照组患者的总有效率为74.42%,卒中单元组的总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论卒中单元综合治疗对脑梗死躯体症状及精神心理康复愈后明显优于传统单一治疗模式。
Objective To explore and compare the effect of combined treatment of stroke unit and conventional single drug therapy on physical symptoms and mental disorders in patients with cerebral infarction. Methods 86 patients with newly diagnosed cerebral infarction in our hospital from January 2009 to September 2016 were selected and divided into stroke unit group （43 stroke unit combined treatment） and control group （43 routine drug treatment） according to the different treatment methods. At 2, 4, 6, 8, 10 and 12 weeks, the neurological function deficit score （NIHSS）, the daily living index （BI index） and the Hamilton Anxiety Scale （HAMA） and the Hamilton Depression Scale （HAMD） score of the two groups were evaluated. Hospital stay and treatment efficiency of the two groups were compared. Results Under the baseline of no significant difference in baseline data between the 2 groups, compared with the control group, the NIHSS score and BI index of the stroke group were significantly different （P 〈 0.05） compared with the control group at 6 weeks after the onset. At 2 weeks -6 weeks, HAMA score, HAMD score of the two groups were not improved obviously, there was a trend of aggravation, but stroke unit group since 6 weeks later, HAMA score, HAMD score had improved significantly （P 〈 0.05）. However, the HAMA and HAMD scores of the control group were not significantly improved （P 〉 0.05） after 6 weeks, and there was a statistically significant difference between the 2 groups in the same period after 6 weeks （P 〈 0.05）. The hospitalization time （15.89 ± 2.56）d in the stroke unit group was significantly lower than that in the control group （19.78±1.25）d in hospital stay （P 〈 0.05）. The total effective rate of the stroke unit group was 90.70%, the total effective rate of the control group was 74.42%, and the total effective rate of the stroke unit group was significantly higher than that of the control group, the difference was statistically significant （P 〈 0.05）. Conclusion Stroke unit treatment for cerebral infarction with somatic symptoms and psychological health Fuyu is better than that of traditional single mode of treatment.
出处
《中国医药科学》
2017年第17期12-15,共4页
China Medicine And Pharmacy
关键词
卒中单元
脑梗死
神经功缺损
继发精神障碍
疗效
Stroke unit
Cerebral infarction
Nerve function defect
Secondary mental disorder
Curative effect
