目的 探讨联合脑卒中单元在老年脑卒中患者中应用研究。 方法 选择2003年7月－2011年7月在我院住院的60岁以上的260例急性脑卒中患者，随机分为联合脑卒中单元组和普通病房治疗组各130例，两组均采用常规内科或手术治疗，联合脑卒中单元组除常规内科或手术治疗外，入院后病情平稳24～48 h后偏瘫患者给予运动康复训练，吞咽障碍患者给予吞咽康复训练，抑郁患者给予心理康复治疗3个月。对联合脑卒中单元/普通病房治疗两组患者在治疗前及治疗后分别采用改良的巴氏指数测定日常生活能力和汉密顿抑郁量表评分，并进行统计学分析。 结果 联合脑卒中单元组改良的巴氏指数测定日常生活能力、汉密顿抑郁量表评分均有明显改善，与普通病房治疗组比较，差异有统计学意义（P＜0.05）。 结论 联合脑卒中单元对老年脑卒中后偏瘫、吞咽障碍、抑郁患者有明显的干预作用，治疗效果优于普通病房治疗组。
【摘要】 目的 探讨在基层医院建立脑卒中单元模式的临床意义。 方法 将2006年1-3月和2007年同期共381例脑卒中患者分为脑卒中单元组和普通病房组。脑卒中单元组按照脑卒中单元模式进行治疗，普通病房组按照传统方法治疗，分别于治疗前、治疗后7、15、30 d时，对比分析两组患者神经功能缺损及疗效。 结果 脑卒中单元组和普通病房组治疗后，随时间两组的神经功能缺损评分（NIHSS）均逐渐降低，两组在治疗后15、30 d时差异有统计学意义（P=0.007），脑卒中单元组家属满意度明显高于普通病房组（P=0.002）。 结论 在基层医院脑卒中单元模式对脑卒中患者的治疗效果明显优于传统治疗。【Abstract】 Objective To investigate the clinical significance of setting up stroke unit model in basic hospital. Methods Three hundreds and eighty-one stroke patients were randomly divided into stroke unit group (n=186) and general ward group (n=189). The stroke unit group patients were treated with the stroke unit model designed by ourselves, while the control group patients were treated with traditional method, The clinical efficacy was compared before treatment, seven days, 15 days and 30 days after treatment. Results Improvement in neurological score was significantly better among patients treated in the SU than in the GW. NIHSS scores gradually reduce in the both groups after treatment, which were significantly lower than those in the control group on 15 days and 30 days after treatment(P=0.007,0.004). The satisfactory of relatives in the stroke unit group was better than that in the general ward group(P=0.002). Conclusion The efficacy of treatment with stroke unit model was better than that of treatment with traditional method in the stroke patients.