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目的观察自行制作的基层医院卒中单元医疗新模式VCD教学和康复训练示教片实施后的临床效果。方法对100例患者实施VCD教学和康复训练(观察组)并与82例传统治疗(对照组)进行比较分析。结果观察组的总显效率为72%,总有效率为93%,高于对照组的37.5%、78.9%(P<0.01、P<0.05)常见的四种并发症发生率显著低于对照组(P<0.01)观察组健在患者对卒中防治知识有一定的认识,进步以上的患者掌握康复训练功能操作。结论实施基层医院卒中单元医疗新模式VCD教学和康复训练示教片效果优于传统治疗,实施性好。
Objective To observe the clinical effect of a new type of medical treatment for stroke unit in grass-root hospitals made by ourselves and the implementation of VCD teaching and rehabilitation training teaching tablet. Methods 100 cases of patients with VCD teaching and rehabilitation training (observation group) and 82 cases of conventional treatment (control group) were compared. Results The total effective rate was 72%, the total effective rate was 93% in the observation group, which was significantly higher than that in the control group (37.5%, 78.9%, P <0.01, P <0.05) (P <0.01). The patients in the observation group had a certain understanding of stroke prevention and treatment knowledge, and the patients with more advanced level had the function of rehabilitation training. Conclusion The implementation of the new model of primary hospital stroke unit medical education and rehabilitation training VCD film is better than the traditional treatment, implementation is good.