急性缺血性卒中院前急救体系的研究进展

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

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。

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.