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中国脑卒中防控现状及更积极的国家防控策略

Current Snapshots on Stroke Prevention and Control and More Proactive National Strategies Against It in China.

作者信息

Jiang Bin

机构信息

Department of Neuroepidemiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing, China.

出版信息

J Cent Nerv Syst Dis. 2025 Apr 28;17:11795735251337605. doi: 10.1177/11795735251337605. eCollection 2025.

Abstract

BACKGROUND AND PURPOSE

Stroke has become a major public health problem. This paper aims to briefly review the current epidemiological characteristics, preliminary achievements, and national action strategies related to stroke prevention and control in China.

METHODS

English and Chinese literature were searched on stroke epidemiological characteristics and more proactive strategies for its prevention and control in China. Potential papers related to this topic were identified from PubMed, Medline, Embase, Cochrane Library, Wanfang Database, SINOMED, and China National Knowledge Infrastructure databases, as well as the annual reports and websites of the People's Daily, the State Council, and the National Health Commission of the People's Republic of China.

RESULTS

Stroke has been ranked among the top three causes of death in China, and has become a public health problem endangering people's health. High rates of incidence, mortality, and disability bring a heavy burden to stroke patients, families, and society. With China's economic development, urbanization, and population aging, the prevalence and incidence of stroke are still rising. Although some progress has been made in specialized stroke prevention and treatment in China, there is still much room for improvement. Curbing increasing stroke due to increased prevalence and suboptimal control of risk factors and unhealthy lifestyles is no longer just the efforts of medical service institutions. It still requires a more proactive national strategy and general mobilization of the whole people. Increased prevalence of stroke, survivors' unfavorable outcomes, and suboptimal rehabilitation also need specialized stroke care and the perfect Hierarchical Medical System within the regional medical consortium in China.

CONCLUSIONS

The current situation of stroke prevention and treatment is still very serious in China. In the future, the stroke prevention and treatment model will change from passive stroke treatment and risk factor control to a more proactive prevention model of health factor management.

摘要

背景与目的

中风已成为一个重大的公共卫生问题。本文旨在简要回顾中国目前与中风防控相关的流行病学特征、初步成果及国家行动策略。

方法

检索中英文文献中关于中国中风流行病学特征及更积极的防控策略。从PubMed、Medline、Embase、Cochrane图书馆、万方数据库、中国生物医学文献数据库、中国知网数据库以及《人民日报》《国务院》《中华人民共和国国家卫生健康委员会》的年度报告和网站中确定与该主题相关的潜在论文。

结果

中风已位列中国三大死因之中,并已成为危害人民健康的公共卫生问题。高发病率、高死亡率和高致残率给中风患者、家庭和社会带来沉重负担。随着中国经济发展、城市化进程及人口老龄化,中风的患病率和发病率仍在上升。尽管中国在中风专科防治方面已取得一些进展,但仍有很大的改进空间。遏制因患病率上升以及危险因素控制不佳和不健康生活方式导致的中风增加,不再仅仅是医疗卫生服务机构的努力。这仍需要更积极的国家战略和全民总动员。中风患病率上升、幸存者预后不良以及康复欠佳,也需要中国区域医疗联合体内部完善的分级诊疗体系和专业的中风护理。

结论

中国目前中风防治形势依然严峻。未来,中风防治模式将从被动的中风治疗和危险因素控制转变为更积极的健康因素管理预防模式。

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