Clinical research of organized stroke care model with integrated Chinese traditional and Western medicine in primary hospital

Abstract

Objective To investigate the clinical effect of the organized stroke care model assisted with Chinese traditional medicine and acupuncture treatment for recovery in primary hospital. Methods Two hundred and thirty ⁃ six stroke patients were randomly divided into organized care group (organized group, n = 121) and the traditional care group (control group, n = 115). The short⁃term clinical curative effect, case⁃fatality rates, and complication incidence of the 2 groups were compared by National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI) and Oxford Handicap Score (OHS). Results Before treatment, NIHSS score was (20.15 ± 3.45) in organized group and (19.85 ± 4.86) in control group, the difference was not statistically significant (P > 0.05). During treatment, NIHSS score, BI and OHS score was (11.28 ± 4.25), (78.00 ± 22.50) and (1.85 ± 1.40) respectively in organized group, and was (16.40 ± 3.80), (62.00 ± 23.60) and (2.60 ± 1.25) respectively in control group, at 21 d. The differences were all statistically significant (P = 0.000, for all). At 90 d, NIHSS score, BI and OHS score was (4.76 ± 3.16), (84.00 ± 20.12) and (1.30 ± 0.98) respectively in organized group, and was (12.23 ± 4.35), (70.00 ± 22.30) and (2.10 ± 1.40) respectively in control group, all differences were also statistically significant (P = 0.000, for all). The total curative effect at 21 d (80.99%, 98/121) and 90 d (88.43%, 107/121) in organized group were all higher than that in control group (61.74%, 71/115) and (72.17%, 83/115; 21 d: Z = 6.207, P = 0.013; 90 d: Z = 8.302, P = 0.004). The complication incidence in organized group (30.58%, 37/121) was significantly lower than that in control group (69.57%, 80/115; χ2 = 35.851, P = 0.000). Conclusion In primary hospital, the curative effect of organized stroke care assisted with Chinese traditional medicine and acupuncture is better than traditional treatment for stroke.

DOI：10.3969/j.issn.1672-6731.2011.02.019