缺血性脑卒中早期诊断和治疗进展简评。

IF 0.5 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Galen Medical Journal Pub Date : 2023-08-21 eCollection Date: 2023-01-01 DOI:10.31661/gmj.v12i0.2993
Bin Sun, Zhigang Wang
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引用次数: 0

摘要

缺血性中风是全球发病率和死亡率的主要原因,因此有必要在早期诊断和治疗模式方面取得进展。本综述旨在概述缺血性脑卒中早期诊断和治疗的最新进展,强调其对患者预后潜在影响的重要性。最近的进展集中在卒中治疗的各个方面,包括成像技术、实验室检测、远程医疗和移动技术、静脉溶栓、机械取栓和协作系统。成像技术的进步在缺血性中风的早期诊断中发挥了关键作用。计算机断层扫描灌注成像、先进的磁共振成像(MRI)技术、多模态成像和自动图像处理工具大大提高了评估缺血性损伤程度的能力。实验室检测在确定与缺血性卒中相关的生物标志物方面取得了重大进展。高灵敏度的心肌肌钙蛋白检测提高了我们对中风心脏部分的认识。此外,S100B、神经胶质纤维酸性蛋白和神经元特异性烯醇化酶等生物标志物在评估中风严重程度和预后方面也显示出良好的前景。移动应用程序和可穿戴设备有助于中风症状识别、风险评估和及时就医。tenecteplase(一种改良的组织浆细胞酶原激活剂)的开发增强了溶解血栓的功效。协作系统,包括地区性中风治疗系统和远程中风网络,优化了医疗服务提供者之间的沟通和协调。可互操作的电子病历简化了信息交流,有利于迅速做出决策。移动通信技术加强了实时协作,使所有利益相关者都参与到中风护理中来。未来的发展方向侧重于人工智能和机器学习算法,用于中风诊断和风险评估。可穿戴设备和远程监测可实现对中风相关指标的持续监测。总之,缺血性脑卒中早期诊断和治疗的进步可以加强脑卒中护理,减少治疗延误,改善患者预后。
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A Short Review on Advances in Early Diagnosis and Treatment of Ischemic Stroke.

Ischemic stroke is a leading cause of morbidity and mortality worldwide, necessitating advancements in early diagnosis and treatment modalities. This review aims to provide an overview of recent advances in the early diagnosis and treatment of ischemic stroke, highlighting the importance of the potential impact on patient outcomes. Recent advancements have focused on various aspects of stroke care, including imaging techniques, laboratory testing, telemedicine and mobile technology, intravenous thrombolysis, mechanical thrombectomy, and collaborative systems. Advances in imaging techniques have played a pivotal role in the early diagnosis of ischemic stroke. Computed tomography perfusion imaging, advanced magnetic resonance imaging (MRI) techniques, multimodal imaging, and automated image processing tools have greatly improved the ability to assess the extent of ischemic injury. Laboratory testing has seen significant progress in identifying biomarkers associated with ischemic stroke. High-sensitivity cardiac troponin assays have improved our understanding of the cardiac component of stroke. Additionally, biomarkers such as S100B, glial fibrillary acidic protein, and neuron-specific enolase have shown promise in assessing stroke severity and prognosis. Mobile applications and wearable devices facilitate stroke symptom recognition, risk assessment, and prompt medical attention. The development of tenecteplase, a modified form of tissue plasminogen activator, has enhanced clot-dissolving efficacy. Collaborative systems, including regional stroke systems of care and telestroke networks, have optimized communication and coordination among healthcare providers. Interoperable electronic health records streamline information exchange and facilitate prompt decision-making. Mobile communication technologies enhance real-time collaboration, involving all stakeholders in stroke care. Future directions focus on artificial intelligence and machine learning algorithms for stroke diagnosis and risk assessment. Wearable devices and remote monitoring may enable continuous monitoring of stroke-related indicators. Overall, advances in early diagnosis and treatment of ischemic stroke can enhance stroke care, reduce treatment delays, and improve patient outcomes.

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Galen Medical Journal
Galen Medical Journal MEDICINE, RESEARCH & EXPERIMENTAL-
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期刊介绍: GMJ is open access, peer-reviewed journal in English and supported by Noncommunicable Diseases (NCD) Research Center of Fasa University of Medical Sciences that publishing by Salvia Medical Sciences Ltd. GMJ will consider all types of the following scientific papers for publication: - Editorial’s choice - Original Researches - Review articles - Case reports - Case series - Letter (to editors, to authors, etc) - Short communications - Medical Idea
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