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Postgrad Med J. 2019 Jan;95(1119):46-47. doi: 10.1136/postgradmedj-2018-136192. Epub 2019 Jan 29.
2
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Short Door-to-Needle Times in Acute Ischemic Stroke and Prospective Identification of Its Delaying Factors.急性缺血性卒中的短门-针时间及其延迟因素的前瞻性识别
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Improvement in Door-to-Needle Time in Patients with Acute Ischemic Stroke via a Simple Stroke Activation Protocol.通过简单的卒中激活方案改善急性缺血性卒中患者的门-针时间。
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Thromb J. 2025 Mar 10;23(1):21. doi: 10.1186/s12959-025-00704-0.
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Front Neurol. 2023 May 5;14:1189760. doi: 10.3389/fneur.2023.1189760. eCollection 2023.
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Acute Thrombolytic Therapy Combined with the Green Channel Can Reduce the Thrombolytic Time and Improve Neurological Function in Acute Stroke Patients.急性溶栓治疗联合绿色通道可缩短急性脑卒中患者的溶栓时间并改善神经功能。
Evid Based Complement Alternat Med. 2022 Jun 27;2022:1127159. doi: 10.1155/2022/1127159. eCollection 2022.
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Effect of PDCA-based nursing intervention on activities of daily living, neurological function and self-management in acute cerebral stroke.基于PDCA的护理干预对急性脑卒患者日常生活活动能力、神经功能及自我管理的影响
Am J Transl Res. 2021 May 15;13(5):5315-5321. eCollection 2021.
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A systematic review of the cost-effectiveness of emergency interventions for stroke in low- and middle-income countries.低收入和中等收入国家中风紧急干预措施成本效益的系统评价。
Afr J Emerg Med. 2020;10(Suppl 1):S90-S94. doi: 10.1016/j.afjem.2020.05.009. Epub 2020 Jun 11.

本文引用的文献

1
Prevalence, Incidence, and Mortality of Stroke in China: Results from a Nationwide Population-Based Survey of 480 687 Adults.中国脑卒中的患病率、发病率和死亡率:一项基于全国 480687 名成年人的人口普查研究结果。
Circulation. 2017 Feb 21;135(8):759-771. doi: 10.1161/CIRCULATIONAHA.116.025250. Epub 2017 Jan 4.
2
Impact of centralising acute stroke services in English metropolitan areas on mortality and length of hospital stay: difference-in-differences analysis.英国大城市地区急性中风服务集中化对死亡率和住院时间的影响:双重差分分析
BMJ. 2014 Aug 5;349:g4757. doi: 10.1136/bmj.g4757.
3
A citywide prehospital protocol increases access to stroke thrombolysis in Toronto.多伦多全市范围的院前方案增加了中风溶栓的可及性。
Stroke. 2009 Dec;40(12):3841-4. doi: 10.1161/STROKEAHA.108.540377. Epub 2009 Oct 29.
4
Identifying stroke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS).现场识别中风。洛杉矶院前中风筛查(LAPSS)的前瞻性验证。
Stroke. 2000 Jan;31(1):71-6. doi: 10.1161/01.str.31.1.71.

中国急性脑卒中救治的快车道:深圳脑卒中急救地图。

Fast-tracking acute stroke care in China: Shenzhen Stroke Emergency Map.

机构信息

Department of Neurology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China

Department of Neurology, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.

出版信息

Postgrad Med J. 2019 Jan;95(1119):46-47. doi: 10.1136/postgradmedj-2018-136192. Epub 2019 Jan 29.

DOI:10.1136/postgradmedj-2018-136192
PMID:30696707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6581085/
Abstract

China has the largest stroke population and at-risk population in the world. However, it has a lower thrombolytic therapy rate and longer onset-to-needle time/door-to-needle time for patients who had an acute stroke compared with developed countries, which might be due to redundant procedures or inefficient systems. Things are changing due to some new initiatives. Two years ago, a new emergency system in China, Stroke Emergency Map, was first launched as a regional emergency system in Shenzhen, the bustling metropolis just north of Hong Kong. As a result of the Stroke Emergency Map in Shenzhen, the number of thrombolytic cases increased in the last 2 years, from 568 to 809 annually. The Stroke Emergency Map, first pioneered in Shenzhen and now spreading to the rest of China, is a comprehensive and interdisciplinary system. The benefits are not just the immediate improvements in the acute stroke care because the continuous data collection and audit allows for improvements in logistics and future strategies.

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