英国国家卒中临床指南2023版要点及解读——短暂性脑缺血发作及轻型缺血性卒中

Interpretation of the Keypoints and Updates on National Clinical Guideline for Stroke for the United Kingdom and Ireland(Edition 2023)—Transient Ischemic Attack and Minor Stroke

TIA是局部脑或视网膜缺血引起的短暂性神经功能缺损,症状持续时间短于24 h。轻型卒中通常以NIHSS评分≤5分或NIHSS评分≤3分作为判断标准。英国国家卒中临床指南2023版对TIA及轻型缺血性卒中的诊断、治疗、预防及管理提出了详细的推荐意见,本文对这部分推荐进行解读,并对其中与英国国家卒中临床指南2016版相比的更新要点进行重点分析。

TIA is a transient neurological impairment caused by local cerebral or retinal ischemia,with symptoms lasting less than 24 hours.Minor stroke is usually measured by NIHSS score≤5 or NIHSS score≤3.The 2023 edition of the National Clinical Guideline for Stroke for the United Kingdom and Ireland provided detailed recommendations for the diagnosis,treatment,prevention and management of TIA and minor stroke.This paper provides an interpretation of these recommendations and highlights the updates compared with the 2016 edition of the National Clinical Guideline for Stroke for the United Kingdom and Ireland.