《2024年美国心脏协会/美国卒中协会卒中一级预防指南》解读  

Interpretation of the 2024 American Heart Association/American Stroke Association Guideline for the Primary Prevention of Stroke

作　　者：雷洋 边原[1] 钟磊[1] 崔小娇 韩丽珠 尹琪楠 李晋奇[1] LEI Yang;BIAN Yuan;ZHONG Lei;CUI Xiaojiao;HAN Lizhu;YIN Qinan;LI Jinqi(Personalized Drug Therapy Key Laboratory of Sichuan Province,Department of Pharmacy,Sichuan Academy of Medical Sciences,Sichuan Provincial People's Hospital,Affiliated Hospital of University of Electronic Science and Technology of China,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院药学部/电子科技大学附属医院个体化药物治疗四川省重点实验室,成都610072

出　　处：《医药导报》2025年第4期509-515,共7页Herald of Medicine

基　　金：中国药学会医院药学专委会医院药学科研专项青年项目(CPA-Z05-ZC-2023-002);中华国际医学交流基金会面上项目(Z-2021-46-2101-2023);中国研究型医院学会科研专项(Y2022FH-YWPJ01-202)。

摘　　要：2024年10月21日美国心脏协会(AHA)/美国卒中协会(ASA)在《卒中》(Stroke)杂志上发布了《2024年美国心脏协会/美国卒中协会卒中一级预防指南》,对前一版指南2014年发表后的临床研究和流行病学数据等进行了梳理总结,提供了全生命周期的卒中预防策略和建议。最新版指南强调了药物治疗、定期筛查和生活方式改变的重要性,并对相关建议进行了更新和细化。该文结合旧版卒中一级预防指南和国内外相关资料,重点针对血压、血糖和血脂管理,特殊人群和特定患者群体的建议以及饮食和运动等健康行为管理等内容的更新部分进行解读,以期为中国开展卒中一级预防和制定相关指南共识提供参考。The American Heart Association(AHA)/American Stroke Association(ASA)published the“2024 Guidelines for Primary Stroke Prevention”in the Stroke journal on October 21,2024.This document summarized the clinical research and epidemiological data since the publication of the previous version of the guidelines in 2014,providing strategies and recommendations for stroke prevention across the entire lifecycle.The guidelines emphasized the importance of pharmacological treatment,routine screenings,and lifestyle changes,with updated and refined recommendations.This article dissects the newly revised sections of the guidelines,with a special focus on the management of blood pressure,blood glucose,and blood lipids levels,as well as customized advice for particular populations and patient subgroups.Furthermore,it explores health behavior management strategies,including diet and exercise,by intergarting the knowledge from the previous version of the primary stroke prevention guidelines with pertinent domestic and international materials.The ultimate objective is to offer valuable insights and guidance to China in advancing primary stroke prevention efforts and formulating coherent guidelines and consensuses within this critical domain.

关 键 词：卒中 血压 血糖 一级预防 

分 类 号：R743.3[医药卫生—神经病学与精神病学]