急性脑卒中院前急救早期识别工具探究进展.docVIP

急性脑卒中院前急救早期识别工具的研究进展 　　[摘要]急性脑卒中是严重危害广大群众生活质量及生命安全的一种常见危急重症，有着较高的发病率、病死率、致残率及复发率。由于人们对急性脑卒中的相关知识或意识匮乏，经常因延误而错失最佳治疗时机。一些新型技术的临床应用给急性脑卒中的临床诊断带来了方便，人们也逐渐了解到，早期对急性脑卒中进行诊断治疗与患者的生存质量有着十分重要的意义。将急性脑卒中加入到急救的范畴并建立一个有效的抢救网络，能够使患者在最短时间内获得有效治疗。急性脑卒中最有效的治疗方法是溶栓抗凝治疗，越早进行溶栓抗凝治疗，临床效果越好，因此，脑卒中早期识别工具应运而生，运用早期识别工具对急性脑卒中患者进行溶栓抗凝治疗临床效果显著 [关键词]脑卒中；院前急救；识别工具；进展 [中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721（2016）07（a）-0016-03 [Abstract]Acute cerebral stroke is one of the most common critical diseases that seriously endanger the quality of life and life safety of the masses，with a high incidence，mortality，disability rate and recurrence rate.Due to the lack of knowledge or awareness of acute cerebral stroke，the best treatment opportunity often missed due to delays.The clinical application of some new technologies has brought convenience to the clinical diagnosis of acute cerebral stroke，people also gradually understood that the early diagnosis and treatment of acute cerebral stroke has very important significance for the life quality of patients.Adding the acute cerebral stroke to the category of first aid and setting up an effective rescue network can strive for patients in the shortest time to get effective treatment.Thrombolytic therapy is the most effective treatment for acute cerebral stroke，the earlier thrombolytic therapy，the better clinical results，therefore，stroke early identification tool emerge as the times require，the use of early identification tool for acute cerebral stroke patients with thrombolytic therapy has significant clinical effect. [Key words]Cerebral stroke；Pre-hospital first aid；Identification tool；Progress 急性脑卒中是一种十分常见的内科危急重症，其发病率、病死率、致残率及复发率均较高[1-3]，患者预后较差，治疗的及时性、合理性会直接影响患者的预后情况，因此，加强院前及院内急救，建立整套的、紧密结合的急救网络，应用磁共振成像（MRI）、经颅多普勒（TCD）及CT等新技术进行诊断，对于急性脑卒中患者能够及时有效地得到诊疗有着十分重要的意义[4-5]。本文主要针对当前国内外急性脑卒中院前急救早期识别工具的研究现状及进展进行综述 1急性脑卒中急救的概念 急性脑卒中的治疗成功在很大程度上取决于在早期或超早期及时发现病情并进行干预，建立从院前到院内不同阶段的诊疗。脑卒中在早期的主要预兆有四肢及面部无力或麻木，眼睛看不清东西甚至失明尤其是单侧发病，语言费解或者说话困难，头痛、头晕、走路不稳或跌倒等，这些征兆可