Clinical Application of Comprehensive Stroke Units in Treating Patients with Hemorrhagic Stroke after Craniotomy_West China Medical Journal

Authors：

 LIZong-ping ¹ , YOUChao ² , ZHONGQi ¹ , LIUPing ¹ , TANXue-shu ¹

1. Department of Neural Surgery, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
2. Department of Neural Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Comprehensive stroke units; Hemorrhagic; Stroke; Surgery

DOI：

10.7507/1002-0179.20150576

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Objective To explore the clinical application of comprehensive stroke units in treating patients of hemorrhagic stroke after craniotomy. Methods We randomly divided the 288 postoperative patients with hemorrhagic stroke treated from January 2010 to December 2013 into two groups:stroke unit group and conventional treatment group. Then we observed and compared their clinical indicators after they received different therapeutic regimens. Results Differences in the national Institude of Health Stroke Scale (4.6±3.2 vs. 7.3±4.1), activities of daily living (89.3±15.6 vs. 72.5±20.3), and duration of hospital stays[(23.3±5.2) vs. (32.5±8.3) days] were significant (P<0.05) on discharge day. The infection rate during hospitalization, the scores of Glasgow outcome scale three months after leaving hospital between the stroke unit group and the conventional treatment group were statistically significant (P<0.05). There was no remarkable difference in the average cost of hospitalization between the two groups (P>0.05). Conclusion Comprehensive stroke unit treatment can significantly reduce the disability rate for postoperative patients with hemorrhagic stroke, shorten the average length of stay at the hospital, save the health care resources, and improve the patients' ability to return to society as well as the satisfaction of family members.

Citation： LIZong-ping, YOUChao, ZHONGQi, LIUPing, TANXue-shu. Clinical Application of Comprehensive Stroke Units in Treating Patients with Hemorrhagic Stroke after Craniotomy. West China Medical Journal, 2015, 30(11): 2019-2022. doi: 10.7507/1002-0179.20150576 Copy

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2.	宋秀豹, 欧阳辉, 洪其生, 等. 卒中单元对脑卒中患者整体功能康复的临床研究[J]. 现代预防医学, 2011, 38(19):4051-4052, 4054.
3.	罗祖明, 胡万保, 侯小兰. 脑卒中病人四种神经功能缺损程度评分与预后的相关性分析[J]. 中华神经科杂志, 1998, 4(4):9-11.
4.	战明才. 多田氏法计算颅内血肿体积公式介绍[J]. 刑事技术, 1998, 3:21.
5.	段洪连, 刘美云, 张拥波, 等. 缺血性脑卒中常用评估量表及其最新研究进展[J]. 中国全科医学, 2011, 14(35):4018-4021.
6.	柯贤军, 许康, 郭珍立. 卒中单元管理模式下脑出血的治疗(附108例分析)[J]. 华中医学杂志, 2007, 31(6):487-488.
7.	崔晓朋, 王惠芳. 脑出血患者康复治疗的临床研究[J]. 当代医学, 2011, 17(31):33-34.
8.	Adams GF. Cerebrovascular disability and the aging brain[M]. New York:Churchil Livingston, 1974:55-58.
9.	周保忠. 脑卒中病人早期康复对患肢功能恢复的影响[J]. 内蒙古民族大学学报, 2011(5):74.
10.	郑仲乾, 刘旭, 陈劲梅, 等. 早期护理干预对高血压脑出血患者ADL的影响[J]. 当代医学, 2011, 17(15):123-125.
11.	Sinha S, Warburton EA. The evolution of stroke writs towards a more intensive approach[J]. OJM, 2000, 93:632-633．.
12.	Sarker SJ, Heuschmann PU, Burger I, et al. Predictors of survival after haemorrhagic stroke in a multi-ethnic population:the South London Stroke Register (SLSR)[J]. J Neurol Neurosurg Psychiatry, 2008, 79(3):260-265.
13.	黄晓琳, 陆敏, 彭军. 不同康复治疗计划对脑卒中患者功能恢复的影响[J]. 中华物理医学与康复杂志, 2003, 25(6):351-353.
14.	郑萍, 章军建. 卒中单元——脑血管病管理的新模式[J]. 国外医学:脑血管疾病分册, 2002, 10(4):259-263.
15.	李爱芹. 卒中单元治疗脑梗死的早期疗效观察[J]. 河北医学, 2010, 16(6):727-729.

1. 全军脑血管病流行病学协作组. 中国脑血管病流行病学研究[M]. 北京:人民军医出版社, 1993:32-40.
2. 宋秀豹, 欧阳辉, 洪其生, 等. 卒中单元对脑卒中患者整体功能康复的临床研究[J]. 现代预防医学, 2011, 38(19):4051-4052, 4054.
3. 罗祖明, 胡万保, 侯小兰. 脑卒中病人四种神经功能缺损程度评分与预后的相关性分析[J]. 中华神经科杂志, 1998, 4(4):9-11.
4. 战明才. 多田氏法计算颅内血肿体积公式介绍[J]. 刑事技术, 1998, 3:21.
5. 段洪连, 刘美云, 张拥波, 等. 缺血性脑卒中常用评估量表及其最新研究进展[J]. 中国全科医学, 2011, 14(35):4018-4021.
6. 柯贤军, 许康, 郭珍立. 卒中单元管理模式下脑出血的治疗(附108例分析)[J]. 华中医学杂志, 2007, 31(6):487-488.
7. 崔晓朋, 王惠芳. 脑出血患者康复治疗的临床研究[J]. 当代医学, 2011, 17(31):33-34.
8. Adams GF. Cerebrovascular disability and the aging brain[M]. New York:Churchil Livingston, 1974:55-58.
9. 周保忠. 脑卒中病人早期康复对患肢功能恢复的影响[J]. 内蒙古民族大学学报, 2011(5):74.
10. 郑仲乾, 刘旭, 陈劲梅, 等. 早期护理干预对高血压脑出血患者ADL的影响[J]. 当代医学, 2011, 17(15):123-125.
11. Sinha S, Warburton EA. The evolution of stroke writs towards a more intensive approach[J]. OJM, 2000, 93:632-633．.
12. Sarker SJ, Heuschmann PU, Burger I, et al. Predictors of survival after haemorrhagic stroke in a multi-ethnic population:the South London Stroke Register (SLSR)[J]. J Neurol Neurosurg Psychiatry, 2008, 79(3):260-265.
13. 黄晓琳, 陆敏, 彭军. 不同康复治疗计划对脑卒中患者功能恢复的影响[J]. 中华物理医学与康复杂志, 2003, 25(6):351-353.
14. 郑萍, 章军建. 卒中单元——脑血管病管理的新模式[J]. 国外医学:脑血管疾病分册, 2002, 10(4):259-263.
15. 李爱芹. 卒中单元治疗脑梗死的早期疗效观察[J]. 河北医学, 2010, 16(6):727-729.

West China Medical Journal

Clinical Application of Comprehensive Stroke Units in Treating Patients with Hemorrhagic Stroke after Craniotomy

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