中国急性缺血性卒中患者使用急救医疗服务的现状与影响因素

doi:10.3969/j.issn.1673-5765.2025.03.004

摘要/Abstract

摘要： 卒中急救不仅是重要的医学问题，也是重大的社会问题。及时利用到院急救医疗服务（emergency medical service，EMS）对改善卒中患者预后至关重要。尽管我国EMS可及性较以往有所提高，但EMS使用率仍显著低于发达国家，公众对EMS的认知及使用方面存在不足。影响患者采用EMS的因素复杂多样，包括患者的经济状况、对EMS的认知、EMS的可及性及效率等。未来应努力提高公众对卒中发病后利用EMS送医重要性及优势的认识，并提供相应的政策支持，以促进EMS的有效利用。本综述旨在探讨中国急性卒中患者使用EMS的现状及其影响因素，为制定和完善医疗政策提供依据。

文章导读： 本文揭示了我国EMS使用率显著低于发达国家的现状，并系统性分析了认知水平、经济状况、医疗政策等多维度影响因素，为提升EMS使用率、完善急救体系、改善患者预后提供了意见参考。

关键词: 卒中; 急救医疗服务; 院前急救; 现状; 影响因素

Abstract: Stroke emergency is not only an important medical issue but also a significant social issue. Timely utilization of emergency medical service (EMS) is crucial for improving the prognosis of stroke patients. Although the accessibility of EMS has been improved in China, the utilization rate of EMS is still significantly lower than that in developed countries, and there are deficiencies in the public’s awareness and use of EMS. The factors affecting patients’ adoption of EMS are complex and diverse, including patients’ economic status, awareness of EMS, accessibility and efficiency of EMS, etc. In the future, efforts should be made to enhance public awareness of the importance and advantages of using EMS for transportation to hospitals after the onset of stroke, and to provide corresponding policy support to promote the effective use of EMS. This review aims to explore the current situation and influencing factors of EMS utilization in acute stroke patients in China, providing a basis for formulating and improving medical policies.

Key words: Stroke; Emergency medical service; Pre-hospital emergency care; Current status; Influencing factor

中图分类号:

黄旭明, 曹黎明, 雷尤珍, 任力杰. 中国急性缺血性卒中患者使用急救医疗服务的现状与影响因素[J]. 中国卒中杂志, 2025, 20(3): 283-290.

HUANG Xuming, CAO Liming, LEI Youzhen, REN Lijie. Current Status and Influencing Factors of Emergency Medical Service Utilization Among Patients with Acute Ischemic Stroke in China[J]. Chinese Journal of Stroke, 2025, 20(3): 283-290.

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