关键词: 脑梗死; 卒中单元; 致残率; 功能; 预后

Abstract: Objective To investigate the effects of combined acute/rehabilitation stroke unit on activities of daily living of acute cerebral infarction patients.Methods 185 acute cerebral infarction patients were divided randomly either into combined acute/rehabilitation stroke unite(SU) or general word(GW) to receive treatment by random envelopes of SPSS 13.0 software. To assess Barthel Index(BI), Fugl-Meyer assessment(FMA) and U.S. National Instituees of Health Stroke Scale(NIHSS) at the day of admission and discharge. The BI would be evaluated for third time at 6 months follow-up. All these data were analyzed with SPSS soft packs.Results After treatment, the mean gap scores between the day of admission and discharge were significantly higher in SU(20±18) than in GW(12±16)(P=0.003), meanwhile the mean gap scores between the day of admission and 6 months follow-up were also significantly higher in SU than in GW(SU 44±20, GW 26±17, P=0.000). After 6 months, there were statistical difference between SU and GW in the rate of good ADL(BI>60, GW 73.63%, SU 53.19%, P=0.003) and in the rate of serious handicap(BI≤40, GW 12.09%, SU 21.28%, P=0.044). The mean gap scores between the day of admission and discharge demonstrated significant difference in BI(P=0.000) and in NIHSS(P=0.000).Conclusion In comparison with that of GW, SU is able to restore the activities of daily living of acute cerebral infarction patients, alleviate the handicap grade, improve motor functions, and reduce neurological defects.

Key words: Brain infarction; Stroke unite; Morbidity; Function; Outcome measure