摘要
2014年版脑卒中及短暂性脑缺血发作的二级预防指南(美国心脏协会和美国卒中协会)旨在为缺血性脑卒中或短暂性脑缺血发作(TIA)的二级预防提供全面、及时、基于循证依据的建议。该版指南在脑卒中危险因素的控制、血管阻塞的干预、心源性脑卒中的抗凝治疗和非心源性脑卒中的抗血小板治疗等方面提出了基于循证依据的建议。该建议还包括其他各种情况下的脑卒中二级预防,这些情况包括主动脉弓粥样硬化、动脉夹层、卯圆孔未闭、高同型半胱氨酸血症、高凝状态、抗磷脂抗体综合征、镰状细胞病、脑静脉窦血栓形成和妊娠状态。该版指南有专门章节阐述颅内出血后的抗血小板和抗凝治疗以及指南的执行情况。文中就2014年版脑卒中及短暂性脑缺血发作的二级预防指南核心内容做一介绍,为帮助临床医生对缺血性脑卒中患者的病因能有合理的解释并着手治疗时以减少脑卒中复发和其他血管事件的发生。
The guideline of 2014 edition was to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack.Evidence-based recommendations were provided for the control of risk factors,intervention for vascular obstruction,antithrombotic therapy for cardioembolism,and antiplatelet therapy for noncardioembolic stroke.Recommendations were also provided for the prevention of recurrent stroke in a variety of specific circumstances,including aortic arch atherosclerosis,arterial dissection,patent foramen ovale,hyperhomocysteinemia,hypercoagulable states,antiphospholipid antibody syndrome,sickle cell disease,cerebral venous sinus thrombosis,and pregnancy.Use of antithrombotic and anticoagulation therapy after an intracranial hemorrhage and implementation of guidelines were addressed in some special sections.The guideline was reviewed to help the clinicians get the reasonable explanation of the cause of the ischemic stroke in an individual patient and reduce the risk of a recurrent event and other vascular outcomes.
出处
《中国临床神经科学》
2015年第1期65-73,共9页
Chinese Journal of Clinical Neurosciences
关键词
心房颤动
颈动脉狭窄
高血压
缺血
短暂性脑缺血发作
预防
脑卒中
atrial fibrillation
carotid stenosis
hypertension
ischemia
transient ischemic attack
prevention
stroke
作者简介
倪金迪，男（1982-），硕士研究生，主要从事急诊心脑血管疾病及肠内营养的研究。
[通讯作者]蔡振林，E-mail：CZL0727@hotmail．com
