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中华危重症医学杂志(电子版) ›› 2024, Vol. 17 ›› Issue (04) : 318 -322. doi: 10.3877/cma.j.issn.1674-6880.2024.04.008

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脑卒中院前救治转送现状分析
张军根1, 杨逢露1, 唐春福1, 王建岗1,()   
  1. 1. 310021 杭州,浙江省杭州市急救中心
  • 收稿日期:2024-03-05 出版日期:2024-08-31
  • 通信作者: 王建岗
  • 基金资助:
    浙江省医药卫生科技计划项目(2021KY953); 浙江省医药卫生科技计划项目面上项目(2021KY955); 杭州市卫生计生科技计划项目一般项目(A20210503); 杭州市科技局重点项目(2020ZDSTO885)
  • Received:2024-03-05 Published:2024-08-31
引用本文:

张军根, 杨逢露, 唐春福, 王建岗. 脑卒中院前救治转送现状分析[J]. 中华危重症医学杂志(电子版), 2024, 17(04): 318-322.

脑卒中已成为全球居民第三大死因[1],中国居民第一大死因[2]。中国与部分发达国家一样,脑卒中的发病率、患病率和病死率居高不下,已成为政府、家庭与个人的沉重负担[3,4,5]。2/3以上(70% ~ 80%)的脑卒中为缺血性卒中,指南推荐急性期血管再通治疗包括溶栓与血管内治疗,但再通治疗具有高度时间依赖性,治疗越早患者预后越好[4,6,7]。由于受到治疗时间窗的限制,急性缺血性脑卒中接受血管再通治疗的比率仍然不高[8,9,10,11]。随着国内脑卒中中心建设的不断推进,院内延误已取得了重大改进,入院至溶栓时间(door to needle time,DNT)大幅缩短[12]。而院前急救环节成效欠佳,成为目前脑卒中救治延误的主要影响因素[13]。因此急需了解院前急救医生对脑卒中的识别能力与救治转送现状,以期明确成因,为优化改进提供科学依据。

表1 院前急救医生脑卒中识别情况(例)
表2 两组院前急救医生救治的院前疑似脑卒中患者基线特征比较[例(%)]
表3 两组院前急救医生救治的院前疑似脑卒中患者救治情况比较[例(%)]
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