摘要
目的 探讨综合性治疗 [卒中单元 ,(strokeunit) ]模式对急性脑卒中治疗的优越性。方法 选择在澳大利亚卒中单元治疗的 2 0 7例急性脑卒中病人为A组 ,同期在我科常规治疗的 32 6例为B组。入选标准统一为经CT或MRI确诊发病 48h内的急性脑卒中 ,比较两组主要临床指标。结果 A组 1 4d内病死率为 5 3 % ,其中死于非脑内原因占 2 7 3 % ,感染发生率 1 7 9% ,而B组分别为1 0 4%、64 7%、47 9% ,差异具有显著性 (P <0 0 1 )。 2 1d神经功能评分和随访 90dRankin积分差异也有显著性 (P <0 0 1 )。结论 在综合性治疗模式下急性脑卒中患者的预后 。
Objective To evaluate the advantages of comprehensive therapy for acute stroke in a stroke unit Methods The data of 207 acute stroke patients treated in a stroke unit in Australia (group A) were compared with those of 326 acute stroke patients treated in our neurological ward (group B) They were diagnosed by CT or MRI and found to have hemiplegia in 48 hours Results There were significant differences between group A and group B in mortality within 14 days (5 3% vs 10 4%), rate of non cerebral causes of death (27 3% vs 64 7%) and rate of infection (17 9% vs 47 9%), P <0 01 Moreover the scores of Europe Stroke Scale at 21 days and Modified Rankin Scale at 90 days were significantly different between the two groups ( P <0 01) Conclusion Prognosis of acute stroke patients managed by comprehensive therapy in stroke unit was superior to that treated conventionally in neurological ward
出处
《中华内科杂志》
CAS
CSCD
北大核心
2002年第11期725-727,共3页
Chinese Journal of Internal Medicine
