| 引用本文: | 闫珊,吴恒趋,胡小霞,吉亚军,张蓓,杨森典,张莹,管阳太.基于“关口前移”理念的脑卒中闭环智慧防治体系建设[J].中国现代应用药学,2026,43(4):64-71. |
| yanshan,Wu Hengqu,Hu Xiaoxia,Ji Yajun,Zhang Bei,Yang Sendian,Zhangying,Guan Yangtai.The construction of a closed-loop intelligent prevention and treatment system for stroke based on the concept of[J].Chin J Mod Appl Pharm(中国现代应用药学),2026,43(4):64-71. |
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| 基于“关口前移”理念的脑卒中闭环智慧防治体系建设 |
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闫珊1, 吴恒趋2, 胡小霞3, 吉亚军1, 张蓓1, 杨森典1, 张莹1, 管阳太2
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1.上海市浦东新区花木社区卫生服务中心;2.上海交通大学医学院附属仁济医院;3.浦东新区花木社区卫生服务中心
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| 摘要: |
| 为践行“健康中国2030”战略,构建符合中国国情与时代特征的脑卒中全周期管理模式,本研究旨在创建一套基于“关口前移”理念的闭环智慧防治体系。该体系将脑卒中防治阵线前移至颈动脉斑块阶段,通过整合早期筛查、定期随访、危险分层、精准科普、早期诊断与治疗及康复管理,实现全周期闭环式智慧化管理。体系强调多学科协作,强化对卒中高危人群“预防-急救-康复”的全链条管理,以促进患者更好地回归社会与家庭;并通过推进紧密型医联体建设,建立健全脑卒中全周期健康管理规范,为我国脑卒中防控工作提供实践参考。 |
| 关键词: 关口前移 脑卒中 闭环管理 智慧防治 |
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| 基金项目:上海市浦东新区卫生健康委员会卫生行业项目(项目名称《浦东社区缺血性脑血管病高危人群一体化质量管理体系的建设》,项目编号 PW2022E-01) |
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| The construction of a closed-loop intelligent prevention and treatment system for stroke based on the concept of |
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yanshan,Wu Hengqu,Hu Xiaoxia,Ji Yajun,Zhang Bei,Yang Sendian,Zhangying,Guan Yangtai
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上海市浦东新区花木社区卫生服务中心
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| Abstract: |
| To implement the "Healthy China 2030" strategy, it is imperative to establish a new, all-round, and full-cycle management model for stroke that aligns with China""s national conditions and contemporary needs. This study focuses on constructing a closed-loop intelligent prevention and treatment system based on the concept of "moving intervention points forward." The system shifts the focus of stroke prevention and control to the carotid artery plaque stage, achieving early screening, regular follow-up, hierarchical management, precise science popularization, early diagnosis, early treatment, and rehabilitation follow-up for high-risk populations through full-cycle closed-loop intelligent comprehensive management. It emphasizes interdisciplinary collaboration to strengthen the full-chain management of "prevention, emergency care, and rehabilitation" for high-risk groups, thereby facilitating better patient reintegration into society and family. Furthermore, it promotes the construction of a tightly-knit medical consortium and establishes sound full-cycle health management standards for stroke, aiming to provide a reference for the development and refinement of stroke management in China. |
| Key words: Threshold forward Stroke Closed-loop management Smart prevention and control |