李志超 刘淑云 任力杰

    [摘要] 急性脑卒中是一种内科急症，严重危及人类的健康，具有发病率高、死亡率高、复发率高、致残率高、治疗费用高的特点。脑卒中患者越早获得救治，其获益越多。脑卒中院前评估量表可协助医护人员识别急性脑卒中。不同脑卒中院前评估量表的敏感度和特异度不同，合理运用脑卒中院前评估量表可提高急性脑卒中的诊断。在不耽误治疗时间的情况下，尽可能提高大血管闭塞的识别，尽早将大血管闭塞的患者送至可行血管内治疗的卒中中心。探索院前评估量表对急性脑卒中救治体系的构建与救治能力提升的重要意义，本文对国内外脑卒中院前评估量表的研究进展作一综述。

    [关键词] 脑卒中;院前;评估量表;救治

    [中图分类号] R743.3 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2019)05(b)-0037-04

    [Abstarct] Acute stroke is a kind of medical emergency that seriously endangers human health. It has the characteristics of high incidence， high mortality， high recurrence rate， high disability rate and high cost. If stroke patients get treatment earlier， the more benefits they get. Pre-hospital evaluation scale of stroke can assist medical staff to identify acute stroke. The sensitivity and specificity of different pre-hospital evaluation scales of stroke are different， and the reasonable use of pre-hospital evaluation scales of stroke can improve the diagnosis of acute stroke. In the case of no delay in treatment time， the identification of large vessel occlusion should be improved as much as possible ......