我们能阻止中风海吗? 缓解障碍,放大促进者的作用
Rita Krishnamurthi1, Ann George1, Alexander Merkin1
1National Institute for Stroke and Applied Neurosciences, School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Journal of the Royal Society of New Zealand
|October 23, 2024
概括
如果没有新的预防策略,全球中风负担将会增加. 结合包括移动技术在内的全人口和高风险干预措施,对于有效预防中风和心血管疾病至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管医学 心血管医学
背景情况:
- 全球中风负担持续上升,迫切需要对当前的初级预防策略进行重新评估.
- 现有的全民和高风险心血管疾病 (CVD) 预防方法在缓解不断增加的中风发病率方面存在局限性.
- 移动技术为个人和人口层面的中风和心血管疾病预防提供了潜力,但它们的有效性需要进一步研究.
研究的目的:
- 批判性地评估全球疾病负担数据和当前的初级中风预防策略.
- 探索包括移动技术在内的各种全民和高风险心血管疾病预防策略的优缺点.
- 识别当前策略中的失败,并提出有效预防中风和心血管疾病的补充方法.
主要方法:
- 关于中风的全球疾病负担数据 (1990-2017) 的叙述性综述.
- 对现有的初级中风和心血管疾病 (CVD) 预防策略进行批判性评估.
- 对新西兰试点随机对照试验 (RCT) 关于激励策略的研究结果的分析.
主要成果:
- 预计如果没有新的初级预防干预措施,全球中风负担将增加.
- 一个试点RCT显示了新策略的可行性,可接受性和激励价值,饮食和意识没有显著改善.
- 目前的初级中风和心血管疾病预防策略有可识别的失败原因.
结论:
- 紧急实施新的初级中风和心血管疾病 (CVD) 预防策略至关重要.
- 重要的是要结合全民和高心血管疾病风险策略,包括多药干预和激励方法.
- 针对首次中风和心血管疾病预防的全人口和有针对性的风险降低策略的最佳整合需要进一步的决心.
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