| Summary: | 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
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