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[卒中单元对脑卒中患者治疗效果的影响]

[Impact of organized stroke ward on the therapeutic effect in stroke patients].

作者信息

Wu Wan-ling, Lu Xi-lin, Zheng Min-ying, Liang Wei, Yao Xiao-li, Hu Zheng-lu

机构信息

Department of Neurology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2010 Mar;30(3):555-6.

PMID:20335136
Abstract

OBJECTIVE

To study the impact of organized stroke ward on the therapeutic effect in stroke patients.

METHODS

A total of 2637 patients with acute stroke were randomly assigned to organized stroke ward or the general ward for treatment, and the rates of mortality, nonrecovery, improvement, and recovery were compared between the two groups.

RESULTS

The rates of mortality, nonrecovery, improvement, and recovery in 5 years were 2.00%, 0.90%, 74.94% and 22.16% respectively in the organized stroke ward group, as compared to 3.26%, 1.02%, 74.01% and 21.71% in the general ward group, respectively. The mortality rate was significantly lower in organized stroke ward (P<0.05), but no significant difference was found in the rates of nonrecovery, improvement, or recovery between the two groups (P>0.05).

CONCLUSION

Admission of the stroke patients in organized stroke ward for treatment can be associated with lowered mortality rate.

摘要

目的

研究卒中单元对卒中患者治疗效果的影响。

方法

将2637例急性卒中患者随机分为卒中单元组和普通病房组进行治疗,比较两组的死亡率、未恢复率、改善率和恢复率。

结果

卒中单元组5年的死亡率、未恢复率、改善率和恢复率分别为2.00%、0.90%、74.94%和22.16%,普通病房组分别为3.26%、1.02%、74.01%和21.71%。卒中单元的死亡率显著较低(P<0.05),但两组之间的未恢复率、改善率或恢复率无显著差异(P>0.05)。

结论

卒中患者入住卒中单元治疗可降低死亡率。

相似文献

1
[Impact of organized stroke ward on the therapeutic effect in stroke patients].[卒中单元对脑卒中患者治疗效果的影响]
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Mar;30(3):555-6.
2
Do all age groups benefit from organized inpatient stroke care?所有年龄组都能从有组织的住院卒中护理中获益吗?
Stroke. 2009 Oct;40(10):3321-7. doi: 10.1161/STROKEAHA.109.554907. Epub 2009 Jul 30.
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Combination of acute stroke unit and short-term stroke ward with early supported discharge decreases mortality and complications after acute ischemic stroke.急性卒中单元与短期卒中病房相结合并早期支持出院可降低急性缺血性卒中后的死亡率和并发症。
J Med Assoc Thai. 2007 Jun;90(6):1089-96.
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Stroke unit versus neurology ward--a short commentary.
J Neurol. 2003 Nov;250(11):1370-1. doi: 10.1007/s00415-003-0217-y.
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Escalating levels of access to in-hospital care and stroke mortality.住院治疗可及性水平的不断提高与卒中死亡率。
Stroke. 2008 Sep;39(9):2522-30. doi: 10.1161/STROKEAHA.107.507145. Epub 2008 Jul 10.
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The contribution of a comprehensive stroke unit to the outcome of Chinese stroke patients.综合性卒中单元对中国卒中患者预后的影响。
Singapore Med J. 2006 Mar;47(3):208-12.
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The effect of weekends and holidays on stroke outcome in acute stroke units.周末和节假日对急性卒中单元中卒中预后的影响。
Cerebrovasc Dis. 2005;20(5):325-31. doi: 10.1159/000087932. Epub 2005 Aug 30.
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Comprehensive stroke units: a review of comparative evidence and experience.综合性卒中单元:比较证据和经验回顾。
Int J Stroke. 2013 Jun;8(4):260-4. doi: 10.1111/j.1747-4949.2012.00850.x. Epub 2012 Jul 19.
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Early assessment by a mobile stroke team: a randomised controlled trial.移动卒中团队的早期评估:一项随机对照试验。
Age Ageing. 2005 Jul;34(4):331-8. doi: 10.1093/ageing/afi102.
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A cluster randomized trial to assess the impact of clinical pathways for patients with stroke: rationale and design of the Clinical Pathways for Effective and Appropriate Care Study [NCT00673491].一项评估中风患者临床路径影响的整群随机试验:有效且恰当护理研究的临床路径原理与设计 [NCT00673491]
BMC Health Serv Res. 2008 Nov 3;8:223. doi: 10.1186/1472-6963-8-223.

引用本文的文献

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Organised inpatient (stroke unit) care for stroke: network meta-analysis.中风的有组织住院(中风单元)护理:网状Meta分析
Cochrane Database Syst Rev. 2020 Apr 23;4(4):CD000197. doi: 10.1002/14651858.CD000197.pub4.
2
Organised inpatient (stroke unit) care for stroke.针对中风的有组织的住院(中风单元)护理。
Cochrane Database Syst Rev. 2013 Sep 11;2013(9):CD000197. doi: 10.1002/14651858.CD000197.pub3.