出血性卒中

• How do different forms of organized inpatient care compare with each other for people after stroke?
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• How do organized inpatient care units (stroke units) compare with general medical wards in providing care for people post stroke?
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• How does percutaneous endoscopic gastrostomy compare with nasogastric tube feeding in people with swallowing disturbances?
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• Can antibiotic therapy help to prevent infection in people with acute stroke?
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证据评分

证据 B 预防 DVT：中等质量的证据显示，同时应用充气加压装置和弹力袜比单独应用弹力袜效果更好。[90]Lacut K, Bressollette L, Le Gal G, et al. Prevention of venous thrombosis in patients with acute intracerebral hemorrhage. Neurology. 2005 Sep 27;65(6):865-9.http://www.ncbi.nlm.nih.gov/pubmed/16186525?tool=bestpractice.com 系统评价或者受试者＞200名的随机对照临床试验（RCT）。

预防 DVT：中等质量的证据显示，同时应用充气加压装置和弹力袜比单独应用弹力袜效果更好。[90]Lacut K, Bressollette L, Le Gal G, et al. Prevention of venous thrombosis in patients with acute intracerebral hemorrhage. Neurology. 2005 Sep 27;65(6):865-9.http://www.ncbi.nlm.nih.gov/pubmed/16186525?tool=bestpractice.com

证据 C 预防 DVT：低质量的证据显示，应用低剂量的普通肝素或低分子肝素比充气加压装置的预防效果更好。[91]Boeer A, Voth E, Henze T, et al. Early heparin therapy in patients with spontaneous intracerebral haemorrhage. J Neurol Neurosurg Psychiatry. 1991 May;54(5):466-7.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC488553/pdf/jnnpsyc00503-0082.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/1865215?tool=bestpractice.com 系统评价或者受试者＞200名的随机对照临床试验（RCT）。

预防 DVT：低质量的证据显示，应用低剂量的普通肝素或低分子肝素比充气加压装置的预防效果更好。[91]Boeer A, Voth E, Henze T, et al. Early heparin therapy in patients with spontaneous intracerebral haemorrhage. J Neurol Neurosurg Psychiatry. 1991 May;54(5):466-7.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC488553/pdf/jnnpsyc00503-0082.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/1865215?tool=bestpractice.com

证据 C 推荐意见基于疾病病理生理学，并由指南声明支持。[54]Hemphill JC 3rd, Greenberg SM, Anderson C, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015 Jul;46(7):2032-60.https://www.ahajournals.org/doi/full/10.1161/str.0000000000000069http://www.ncbi.nlm.nih.gov/pubmed/26022637?tool=bestpractice.com 没有相关的随机对照临床试验。 系统评价或者受试者＞200名的随机对照临床试验（RCT）。

推荐意见基于疾病病理生理学，并由指南声明支持。[54]Hemphill JC 3rd, Greenberg SM, Anderson C, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015 Jul;46(7):2032-60.https://www.ahajournals.org/doi/full/10.1161/str.0000000000000069http://www.ncbi.nlm.nih.gov/pubmed/26022637?tool=bestpractice.com 没有相关的随机对照临床试验。