中国卒中院前急救现状及研究进展(Current Status and Research Advances in Prehospital Emergency Care for Stroke in China)

卒中是一种具有高发病率、高复发率、高致残率和高死亡率等特点的急性脑血管疾病,其救治效果具有时间依赖性。院前急救作为卒中救治的首要环节,对患者预后起着至关重要的作用。本文概述了卒中院前急救现状,包括公众卒中知识教育、院前急救系统建设,以及卒中院前院内一体化衔接。其中,重点探讨了相关临床研究进展,如移动卒中单元的应用、人工智能辅助诊断技术的发展、远程医疗技术的创新及救护车院前降压治疗等。最后,在卒中院前急救现状的基础上,提出院前急救水平提升策略,以期为完善卒中院前急救体系提供参考。(Abstract: Stroke is an acute cerebrovascular disease chara...

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Bibliographic Details
Main Author: 姜华,张春芳,陈晨,刘飞凤,李刚(JIANG Hua, ZHANG Chunfang, CHEN Chen, LIU Feifeng, LI Gang)
Format: Article
Language:zho
Published: Editorial Department of Chinese Journal of Stroke 2025-07-01
Series:Zhongguo cuzhong zazhi
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Online Access:https://www.chinastroke.org.cn/CN/10.3969/j.issn.1673-5765.2025.07.002
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Summary:卒中是一种具有高发病率、高复发率、高致残率和高死亡率等特点的急性脑血管疾病,其救治效果具有时间依赖性。院前急救作为卒中救治的首要环节,对患者预后起着至关重要的作用。本文概述了卒中院前急救现状,包括公众卒中知识教育、院前急救系统建设,以及卒中院前院内一体化衔接。其中,重点探讨了相关临床研究进展,如移动卒中单元的应用、人工智能辅助诊断技术的发展、远程医疗技术的创新及救护车院前降压治疗等。最后,在卒中院前急救现状的基础上,提出院前急救水平提升策略,以期为完善卒中院前急救体系提供参考。(Abstract: Stroke is an acute cerebrovascular disease characterized by high incidence, high recurrence rate, high disability rate, and high mortality, with treatment outcomes being time-dependent. Prehospital emergency care, as the primary link in stroke management, plays a crucial role in patient prognosis. This article outlines the current status of prehospital emergency care for stroke, including public education on stroke, the development of prehospital emergency care systems, and the integration of prehospital to in-hospital care. Among these, it focuses on the progress of related clinical research, including the application of mobile stroke units, the development of artificial intelligence-assisted diagnostic techniques, innovations in telemedicine technology, and prehospital blood pressure management in ambulances. Finally, based on the current status of prehospital emergency care for stroke, this article proposes strategies to enhance the quality of prehospital emergency care, aiming to provide references for improving the prehospital emergency care system for stroke.)
ISSN:1673-5765