Zhongguo cuzhong zazhi (Sep 2023)

河南省卒中中心建设的探索与实践 Exploration and Practice of the Construction of Stroke Center in Henan Province

  • 李亚鹏,高远,刘凯,杨宗豫,王菁婧,周略,董小康,李玉生,宋波,许予明

DOI
https://doi.org/10.3969/j.issn.1673-5765.2023.09.003
Journal volume & issue
Vol. 18, no. 9
pp. 986 – 992

Abstract

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为遏制卒中高发态势,降低卒中急性期致死、致残率,河南省卫生健康委相继成立河南省脑卒中防治中心和河南省脑卒中质控中心,负责全省卒中中心建设工作,构建了省-市-县三级卒中防治及质控体系,积极推动地方政府持续投入,定期开展院长论坛和区域先进卒中中心参访交流,进行卒中防治适宜技术培训,有力推动了卒中中心服务能力建设。河南省卫生健康委将卒中中心建设列入医院等级评审的必备条件,通过实施卒中急救一键启动、加大卒中高危人群筛查和评估、广泛开展卒中早期识别和科普宣教、建立健全卒中中心管理制度等措施显著提高了卒中中心建设的质量和内涵,静脉溶栓、机械取栓、颈动脉内膜切除术等适宜技术得到快速发展。 Abstract: In order to curb the high incidence of stroke and reduce the rate of death and disability in the acute phase of stroke, the Health Commission of Henan Province has successively established the Henan Stroke Prevention and Treatment Center and the Henan Stroke Quality Control Center to take charge of the construction of stroke centers in Henan province. We have established stroke prevention and quality control system in the provincial, municipal, and county levels, and have actively promoted the continuous input from local governments. The hospital dean forum, regional advanced stroke center visits and exchanges, and appropriate techniques training on stroke prevention and treatment are regularly carried out, which effectively promotes the service capacity of stroke centers. The Health Commission of Henan Province has included the construction of stroke centers as a necessary condition for hospital level evaluation. Through measures such as implementing rapid stroke emergency response, increasing screening and evaluation of high-risk groups for stroke, widely conducting early stroke identification and education, and establishing the management system of stroke centers, the number and quality of stroke centers have been significantly improved. Appropriate techniques such as intravenous thrombolysis, mechanical thrombolysis and carotid endarterectomy have been developed rapidly in Henan province.

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