2020中国急性缺血性卒中血管内治疗现状调查分析  

A Survey of Current Practice in Acute Ischemic Stroke Endovascular Treatment in China in 2020

作　　者：霍晓川[1] 李晓青 缪中荣[1] 国家神经系统疾病医疗质量控制中心神经介入质控专家委员会 急性脑梗死再灌注治疗质量改进国家行动血管内治疗工作委员会 HUO Xiaochuan;LI Xiaoqing;MIAO Zhongrong;Expert Committee for Neurointervention Quality Control of National Center for Healthcare Quality Management in Neurological Diseases;Endovascular Treatment Working Committee of National Action for Quality Improvement of Acute Cerebral Infarction Reperfusion Therapy(Neurointervention Center,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;不详)

机构地区：[1]首都医科大学附属北京天坛医院神经介入中心,北京100070 [2]不详

出　　处：《中国卒中杂志》2022年第1期56-65,共10页Chinese Journal of Stroke

摘　　要：目的调查2020年中国急性缺血性卒中(acute ischemic stroke,AIS)血管内治疗(endovascular treatment,EVT)的数量、分布及特点。方法通过国家神经系统疾病医疗质量控制中心神经介入质量控制专家委员会调研及上报方式,对中国2020年开展AIS-EVT(包括动脉溶栓、机械取栓、球囊成形、支架成形)的中心数量及AIS-EVT数量进行调查,分析年AI S-EVT治疗量50例以上和100例(高容量中心)以上中心的分布特点。结合中国第七次人口普查结果,计算中国AIS-EVT中心及数量的人口分布情况。结合2020年国民生产总值(gross domestic product,GDP)及人均GDP情况,分析AIS-EVT数量和每10万人口AIS-EVT数量与各区域GDP和人均GDP的相关性。结果各区域质量控制中心上报2020年开展AIS-EVT的中心数量共862家,实施AIS-EVT共42183例。年治疗50例以上中心为275家,总计AI S-EVT数量达30855例,前六名为广东省、江苏省、河南省、山东省、四川省、浙江省;年治疗100例以上的中心数量为126家,总计AI S-EVT数量达20642例,前六名为广东省、江苏省、河南省、山东省、浙江省、上海市。全国每千万人口AIS-EVT中心数量为6.11家,前六名为陕西省、新疆维吾尔自治区、浙江省、四川省、北京市、天津市。每10万人口AIS-EVT数量平均为3例,前六名为上海市、北京市、浙江省、江苏省、陕西省、广东省。各区域AIS-EVT数量与本地区的人口数量正相关(r=0.870,P<0.001),也与本地区GDP正相关(r=0.940,P<0.001);各区域每10万人口AIS-EVT数量与本地区人均GDP正相关(r=0.529,P=0.002)。结论2020年中国有862家的中心开展AIS-EVT,累计AI S-EVT数量超过4万例,每10万人口AI S-EVT数量为3例,比例尚有待进一步提高。地区的GDP总量与AI S-EVT数量密切相关,AI S-EVT技术的人群覆盖情况与人均GDP密切相关,AI S-EVT技术有待于进一步的下沉及均质化发展。Objective To investigate the prevalence,distribution and characteristics of endovascular treatment(EVT)of acute ischemic stroke(AIS)patients in China in 2020.Methods A survey on AIS-EVT was carried out by the Expert Committee for Neurointervention Quality Control of National Center for Healthcare Quality Management in Neurological Diseases,which including the number of centers capable of performing AIS-EVT(including intra-artery thrombolysis,mechanical thrombectomy,balloon angioplasty,stent angioplasty)and number of AIS-EVT surgery,to analyze the distribution characteristics of centers with high capacity for AISEVT treatment(more than 50 cases and more than 100 cases).Combined with the gross domestic product(GDP)and per capita GDP of each region in 2020,the correlation between the number of AIS-EVT,the number of AIS-EVT per 100000 population and GDP and per capita GDP of each region were analyzed.Results There were 862 centers and 42183 cases receiving AIS-EVT in all in this survey.There were 275 centers capable for treating more than 50 cases per year and the number of AIS-EVT amounted to 30855 cases,the top six provinces of which were Guangdong,Jiangsu,He'nan,Shandong,Sichuan and Zhejiang.There were 126 centers capable for treating more than 100 cases per year,and the total number of AIS-EVT reached up to 20642 cases,the top six regions of which were Guangdong,Jiangsu,He'nan,Shandong,Zhejiang and Shanghai.The average number of thrombectomy centers per 10 million population was 6.11,and the top six provinces were Shaanxi,Xinjiang,Zhejiang,Sichuan,Beijing and Tianjin.The average number of thrombectomy per 100000 population was 3 cases,and the top six regions were Shanghai,Beijing,Zhejiang,Jiangsu,Shaanxi and Guangdong.The AIS-EVT number in each region was positively correlated with the population of this region(r=0.870,P<0.001),and also with GDP of this region(r=0.940,P<0.001).The number of thrombectomy per 100000 population in each region was positively correlated with per capita GDP in this region(r=0.529,P=0.0

关 键 词：急性缺血性卒中 大血管闭塞 血管内治疗 动脉溶栓 机械取栓 球囊成形 支架成形 国民生产总值 地图 

分 类 号：R743.3[医药卫生—神经病学与精神病学]