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中华脑科疾病与康复杂志(电子版)

中华脑科疾病与康复杂志(电子版) ›› 2024, Vol. 14 ›› Issue (01) : 56 -60. doi: 10.3877/cma.j.issn.2095-123X.2024.01.008

综述

急性缺血性卒中院前急救体系的研究进展
陶栎, 张月辉†(), 王相明   
  1. 637000　南充，川北医学院
  • 收稿日期:2022-12-23 出版日期:2024-02-15
  • 通信作者: 张月辉

Progress of pre-hospital emergency care system for acute ischemic stroke

Yue Tao, Yuehui Zhang†(), Xiangming Wang   

  1. North Sichuan Medical College, Nanchong 637000, China
  • Received:2022-12-23 Published:2024-02-15
  • Corresponding author: Yuehui Zhang
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陶栎, 张月辉, 王相明. 急性缺血性卒中院前急救体系的研究进展[J]. 中华脑科疾病与康复杂志(电子版), 2024, 14(01): 56-60.

Yue Tao, Yuehui Zhang, Xiangming Wang. Progress of pre-hospital emergency care system for acute ischemic stroke[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2024, 14(01): 56-60.

随着我国卒中中心的建设和优化，接受血管再通治疗率明显提高，但较发达国家仍处于较低水平，尤其是偏远地区。院前延误是导致急性缺血性卒中救治时间长、血管再通率低的最主要原因。认识急性缺血性卒中院前急救体系有助于减少院前延误、提高溶栓率及改善预后。本文围绕急性缺血性卒中院前急救现状、影响因素和优化措施等方面进行综述。

关键词: 急性缺血性卒中, 院前急救, 院前延误, 移动卒中单元

With the construction and optimization of stroke centers in China, the rate of receiving vascular recanalization therapy has increased significantly, but it is still at a low level compared with developed countries, especially in remote areas. Prehospital delay is the main cause of long treatment time and low vascular recirculation rate of acute ischemic stroke. Understanding acute ischemic stroke systems can help reduce prehospital delays, increase thrombolytic rates, and improve outcomes. This paper reviews the status quo, influencing factors, and optimization measures of pre-hospital emergency care for acute ischemic stroke.

Key words: Acute ischemic stroke, Prehospital emergency care, Prehospital delay, Mobile stroke unit
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