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大血管闭塞性脑卒中研究进展及护理启示
刘宇嘉1,2,王伊龙3*
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(1. 北京航空航天大学生物与医学工程学院, 北京 100191;
2. 解放军总医院医院管理研究所所长办公室, 北京 100036;
3. 首都医科大学附属北京天坛医院神经内科, 北京 100070
*通信作者)
摘要:
大血管闭塞性脑卒中是最严重的卒中亚型,有很高的致残率、致死率。本文对急性大血管闭塞性脑卒中的定义、流行病学、病理生理学、病因分类、影响因素、临床评估及急救护理等方面的进展进行综述,旨在阐明相关危险因素,为优化大血管闭塞性脑卒中的预防和治疗提供有力支持。将大血管闭塞性脑卒中纳入院前急救和护理全周期的评估范畴,进一步加强临床医学与护理专业交叉人才的培养,可显著提高患者的救治率,更好地推动我国医疗保健事业的发展。
关键词:  缺血性脑卒中  大血管闭塞  危险因素  护理
DOI:10.16781/j.CN31-2187/R.20230623
投稿时间:2023-11-12修订日期:2024-02-20
基金项目:国家自然科学基金杰出青年科学基金(81825007).
Large vessel occlusion stroke: research progress and nursing enlightenment
LIU Yujia1,2,WANG Yilong3*
(1. School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China;
2. Office of the Director, Hospital Management Research Institute, Chinese PLA General Hospital, Beijing 100036, China;
3. Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
*Corresponding author)
Abstract:
Large vessel occlusion (LVO) stroke is the most severe subtype of stroke with high disability and mortality. This article reviews the progress in the definition, epidemiology, pathophysiology, etiology classification, influencing factors, clinical evaluation and emergency care of acute LVO stroke, so as to elucidate the risk factors and to provide support for the prevention and treatment of this disease. Incorporating the assessment of LVO stroke into the comprehensive framework of pre-hospital emergency care and nursing, coupled with training of interdisciplinary experts in clinical medicine and nursing, can significantly improve treatment outcomes for these patients and substantially contribute to the advancement of healthcare in China.
Key words:  ischemic stroke  large vessel occlusion  risk factors  nursing