Chinese Journal of Stroke ›› 2023, Vol. 18 ›› Issue (12): 1383-1390.DOI: 10.3969/j.issn.1673-5765.2023.12.007

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Interpretation of the Keypoints and Updates on National Clinical Guideline for Stroke for the United Kingdom and Ireland (Edition 2023) —Long-Term Management and Secondary Prevention 

WU Na1, WANG Liyuan1, LI Guangshuo1, XIONG Yunyun1,2,3   

  • Received:2023-09-16 Online:2023-12-20 Published:2023-12-20

英国国家卒中临床指南2023版要点及解读——长期管理与二级预防

吴娜1,王利圆1,李光硕1,熊云云1,2,3   

  1. 1  北京 100070首都医科大学附属北京天坛医院神经病学中心
    2  国家神经系统疾病临床医学研究中心
    3  北京脑科学与人类脑研究中心
  • 通讯作者: 熊云云 xiongyunyun@bjtth.org
  • 基金资助:
    国家自然科学基金项目(82171272)

Abstract: The recurrence rate of stroke and TIA is high, and recurrent stroke is characterized by high disability rate and high mortality. Timely, scientific and standardized early, secondary prevention can significantly reduce the risk of recurrent events. The national clinical guideline for stroke for the United Kingdom and Ireland (2023 edition) has updated recommendations on the management of risk factors such as blood pressure, lipid metabolic disorder, antiplatelet therapy, anticoagulant therapy, increased physical activity and secondary prevention measures after stroke or TIA.

Key words: Ischemic stroke; Transient ischemic attack; Intracerebral hemorrhage; Risk factor; Secondary prevention

摘要: 卒中和TIA的复发率均较高,且复发性卒中具有高致残率、高死亡率的特点。及时、科学和规范地进行早期二级预防,可大幅降低卒中复发风险。英国国家卒中临床指南2023版对卒中或TIA后血压、脂代谢紊乱、抗血小板治疗、抗凝治疗、增加身体活动等危险因素管理和二级预防措施的推荐意见进行了更新,本文对此进行介绍。

关键词: 缺血性卒中; 短暂性脑缺血发作; 脑出血; 危险因素; 二级预防