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

Video：

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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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10.	鄭仲乾, 劉旭, 陳勁梅, 等. 早期護理干預對高血壓腦出血患者ADL的影響[J]. 當代醫學, 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．.
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13.	黃曉琳, 陸敏, 彭軍. 不同康復治療計劃對腦卒中患者功能恢復的影響[J]. 中華物理醫學與康復雜志, 2003, 25(6):351-353.
14.	鄭萍, 章軍建. 卒中單元——腦血管病管理的新模式[J]. 國外醫學:腦血管疾病分冊, 2002, 10(4):259-263.
15.	李愛芹. 卒中單元治療腦梗死的早期療效觀察[J]. 河北醫學, 2010, 16(6):727-729.

1. 全軍腦血管病流行病學協作組. 中國腦血管病流行病學研究[M]. 北京:人民軍醫出版社, 1993:32-40.
2. 宋秀豹, 歐陽輝, 洪其生, 等. 卒中單元對腦卒中患者整體功能康復的臨床研究[J]. 現代預防醫學, 2011, 38(19):4051-4052, 4054.
3. 羅祖明, 胡萬保, 侯小蘭. 腦卒中病人四種神經功能缺損程度評分與預后的相關性分析[J]. 中華神經科雜志, 1998, 4(4):9-11.
4. 戰明才. 多田氏法計算顱內血腫體積公式介紹[J]. 刑事技術, 1998, 3:21.
5. 段洪連, 劉美云, 張擁波, 等. 缺血性腦卒中常用評估量表及其最新研究進展[J]. 中國全科醫學, 2011, 14(35):4018-4021.
6. 柯賢軍, 許康, 郭珍立. 卒中單元管理模式下腦出血的治療(附108例分析)[J]. 華中醫學雜志, 2007, 31(6):487-488.
7. 崔曉朋, 王惠芳. 腦出血患者康復治療的臨床研究[J]. 當代醫學, 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. 腦卒中病人早期康復對患肢功能恢復的影響[J]. 內蒙古民族大學學報, 2011(5):74.
10. 鄭仲乾, 劉旭, 陳勁梅, 等. 早期護理干預對高血壓腦出血患者ADL的影響[J]. 當代醫學, 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. 黃曉琳, 陸敏, 彭軍. 不同康復治療計劃對腦卒中患者功能恢復的影響[J]. 中華物理醫學與康復雜志, 2003, 25(6):351-353.
14. 鄭萍, 章軍建. 卒中單元——腦血管病管理的新模式[J]. 國外醫學:腦血管疾病分冊, 2002, 10(4):259-263.
15. 李愛芹. 卒中單元治療腦梗死的早期療效觀察[J]. 河北醫學, 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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