急性缺血性脑卒中患者延迟溶栓的影响因素研究进展  

Research Progress on Influencing Factors of Delayed Thrombolysis in Patients with Acute Ischemic Stroke

作　　者：阿伊尼格尔·吐松 玉素甫江·牙库甫[1] 

机构地区：[1]新疆医科大学第一附属医院急诊创伤中心,新疆 乌鲁木齐

出　　处：《临床医学进展》2023年第7期11729-11734,共6页Advances in Clinical Medicine

摘　　要：急性缺血性卒中为临床常见脑血管疾病,疾病具有发病急、症状危重、致残率高及死亡率高等特征,为临床致死疾病首位,成为危害机体健康首要公共卫生问题之一。溶栓是目前治疗急性脑卒中的有效措施,但受到时间窗限制,就医延迟是导致患者溶栓治疗不足和低效率的主要原因。卒中就医延迟风险因素众多,本研究主要从院前延迟及院内延迟2个层面对其进行综述,探讨影响急性缺血性脑卒中急救延迟相关危险因素,旨在为后续卒中就医延迟风险管理、实施综合有效的干预和风险防范措施提供依据,以缩短卒中患者就医时间,从而减少就医延迟发生。Acute ischemic stroke is a common clinical cerebrovascular disease, which has the characteristics of acute onset, critical symptoms, high disability rate and high mortality rate. It is the first clinically fatal disease, and has become one of the primary public health problems that harm the body’s health. Thrombolytic therapy is an effective measure in the treatment of acute stroke, but limited by the time window, delayed medical treatment is the main cause of insufficient and inefficient thrombolytic therapy for patients. There are many risk factors for delayed medical treatment for stroke. This study mainly reviews them from two aspects: pre-hospital delay and in-hospital delay, discusses the risk factors affecting delayed emergency treatment for acute ischemic stroke, and aims to provide basis for subsequent risk management of delayed medical treatment for stroke, implementation of comprehensive and effective intervention and risk prevention measures, so as to shorten the time for stroke patients to see a doctor thus reducing the occurrence of delayed medical treatment.

关 键 词：缺血性脑卒中 静脉溶栓 延迟 影响因素 

分 类 号：R74[医药卫生—神经病学与精神病学]