Verburg A F E Arianne, Tjon-A-Tsien Monique R S, Verstappen Wim H J M, Beusmans George H M I, Wiersma Tjerk, Burgers Jako S
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht.
Ned Tijdschr Geneeskd. 2014;158(1):A7022.
The Dutch College of General Practitioners (NHG) guideline 'Stroke' covers the diagnosis, management and long-term care of stroke in general practice. Patients with neurological symptoms suspected to be due to cerebral infarction or haemorrhage should be transferred directly to a stroke unit. The specialized care provided by these units, including emergency interventions (e.g. intravenous thrombolysis) and early mobilization help improve outcomes. If neurological symptoms have resolved completely, the patient should be referred to a TIA service as soon as possible, preferably within 1 day. Stroke often leads to permanent disability and neuropsychological impairments. The general practitioner (GP) should provide patients and caregivers with information and support, and should be alert to the psychological consequences of stroke, both in patients and caregivers. Secondary prevention measures are started as soon as the diagnosis of stroke is confirmed. GPs should regularly evaluate and monitor risk factors and compliance.
荷兰全科医生学院（NHG）的“中风”指南涵盖了全科医疗中中风的诊断、管理和长期护理。疑似因脑梗死或脑出血导致神经症状的患者应直接转至中风单元。这些单元提供的专科护理，包括紧急干预措施（如静脉溶栓）和早期活动，有助于改善预后。如果神经症状已完全缓解，患者应尽快转诊至短暂性脑缺血发作（TIA）服务机构，最好在1天内。中风常导致永久性残疾和神经心理障碍。全科医生应向患者和护理人员提供信息和支持，并应警惕中风对患者和护理人员的心理影响。一旦确诊中风，应立即开始二级预防措施。全科医生应定期评估和监测风险因素及依从性。
