区域卒中联盟建设

Construction of regional stroke alliance

我国是全球脑卒中发病风险最高的国家,虽然近10年来国家卫生健康委员会脑卒中防治工程委员会励精图治,但脑卒中的防控形势依然严峻。国民医学素养较低、医疗环境复杂、卒中中心布局欠佳、医院脑卒中救治水平参差不齐,导致脑卒中患者发病后往往不能及时就医或及时诊治。因此,建设区域卒中联盟是脑卒中防治事业发展的迫切需要,对于探索脑卒中分级诊疗、建立区域急救接转诊模式、制定区域脑卒中诊疗标准流程、开展临床规范和健康教育培训、提高区域各级医院尤其是基层医院的脑卒中诊治水平意义重大。目前,各地建立了不同形式的区域卒中联盟,不仅发挥了卒中中心的优势、提高了脑卒中的诊疗质量,也为脑卒中患者赢得黄金抢救时间,符合国家医联体及专科联盟建设策略。区域卒中联盟建设虽然已初见成效,但任重道远,仍需要进一步统筹规划和完善,打造区域高效智能化"脑卒中黄金1小时救治圈",为迎接脑卒中防治"拐点"的早日到来而奋斗。

China is a country with the highest morbidity of stroke in the world.Although the Stroke Prevention and Control Project Committee of the National Health Commission has made great efforts in recent 10 years,the situation of stroke prevention and control is still grim.Poor national medical literacy,complex medical environment,unbalanced distribution of stroke centers and unbalanced stroke treatment levels in different hospitals often lead to the failure of timely hospitalization or diagnosis and treatment of stroke.Construction of regional stroke alliance is urgent and plays a significant role in exploring the hierarchical diagnosis and treatment of stroke,setting up emergency aid and transform mode,standardizing stroke work process,carrying out clinical practice and health education,and improving the stroke diagnosis and treatment levels of regional stroke centers at all levels,especially in grass-root hospitals.At present,different forms of regional stroke alliances have been established around the country,which not only give play to the advantages of stroke centers,but also improve the diagnosis and treatment of stroke,win the golden rescue time,and comply with the construction strategies of National Medical Association and specialty alliances.Although initial benefits have been achieved,there is still a long way to go.Further plan is needed to improve the regional stroke alliance and establish a regional efficient and intelligent“1-h golden treatment circle of stroke”,so as to strive for the early“inflection point”of stroke prevention and treatment.