大血管闭塞性脑卒中急救预测量表研究进展  

First-aid prediction scale for large vessel occlusion stroke:research progress

作　　者：刘宇嘉 陈玮琪[3] 王伊龙[3] LIU Yujia;CHEN Weiqi;WANG Yilong(School of Biological Science and Medical Engineering,Beihang University,Beijing 100191,China;Office of the Director,Hospital Management Research Institute,Chinese PLA General Hospital,Beijing 100036,China;Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[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

出　　处：《海军军医大学学报》2024年第4期391-398,共8页Academic Journal of Naval Medical University

基　　金：国家自然科学基金杰出青年科学基金(81825007)。

摘　　要：脑卒中是我国患者死亡的首要原因,其中大血管闭塞性脑卒中是病死率、致残率最高的缺血性脑卒中类型。指南推荐应尽早开展静脉溶栓、桥接治疗或血管内治疗以挽救缺血的脑组织。因此,及早识别大血管闭塞性脑卒中对院前急救及转诊至关重要。目前已研发出众多院前预测大血管闭塞性脑卒中的评估工具,如PAST量表、ELVO量表、CPSSS、EMSA量表、LARIO量表等。本文对近几年研发的用于院前预测大血管闭塞性脑卒中的评估工具及其预测效能进行综述,以更好地应用于临床实践。Stroke is the leading cause of death in China,and large vessel occlusion(LVO)stroke is the type of ischemic stroke with the highest mortality and disability rate.Clinical guidelines recommend early interventions through intravenous thrombolysis,bridging therapy,or endovascular treatment to salvage ischemic brain tissue.Therefore,early identification of LVO stroke is of vital importance for prehospital emergency and referrals.Currently,numerous assessment tools for predicting LVO stroke have been developed,such as the prehospital acute stroke triage(PAST)scale,emergent large vessel occlusion screen(ELVO)scale,Cincinnati prehospital stroke severity scale(CPSSS),emergency medical stroke assessment(EMSA)scale and large artery intracranial occlusion stroke(LARIO)scale.This article focuses on the content and prediction efficiency of these assessment tools developed in recent years for prehospital prediction of LVO stroke,aiming to facilitate their applications in clinical practice.

关 键 词：脑卒中 大血管闭塞 量表 预测效能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]