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支持初步识别早期中风后发作的临床方法:系统范围审查

Clare Gordon^1,2, Hedley C A Emsley^2,3, Catherine Elizabeth Lightbody¹

¹School of Nursing and Midwifery, University of Lancashire, Preston PR1 2HE, UK.

Neurology international

|October 28, 2025

概括

早期识别中风后的发作至关重要. 这次审查发现,临床临床方法用于识别早期中风后发作 (EPSSs) 的证据有限,强调需要更好的策略.

科学领域:

神经学神经学
临床医学临床医学
发作发作发作

背景情况:

脑卒中是发作和的主要原因,增加死亡率和残疾.
在急性中风患者中,及时识别和管理发作对于更好的结果至关重要.
目前的中风后发作监测通常依赖于临床怀疑,强调需要有效的床边方法.

研究的目的:

绘制有关临床方法的现有文献,用于诊断和监测早期中风后发作 (EPSSs).

主要方法:

关于患有急性缺血性中风或脑内出血的成年人以及疑似住院患者EPSS的文献范围审查.
在主要数据库 (Medline,CINAHL,Embase,Cochrane图书馆) 进行的搜索,搜索到2023年4月的英语出版物.
包括多种来源:初级研究,案例报告,审查,指南和专家意见,以及参考清单审查.

主要成果:

30篇论文符合纳入标准,包括研究研究,专家意见,病例报告和临床指南.
经验证据支持临床方法的的识别和监测在急性中风被发现是有限的.
没有研究评估了不同检测方法的比较有效性,现有的建议缺乏共识和细节.

结论:

精确诊断EPSS是至关重要的,因为它对患者的结果有重大影响.
审查发现了当前对中风后发作的监测实践中的不一致性.
显然,迫切需要有针对性的研究来开发和验证有效的临床策略,以确定急性中风护理中的EPSS.

关键词:

临床认可临床认可一个电脑电图 (electroencephalogram) 是一个电脑电图.发作发作发作范围审查范围审查审查一次性中风中风中风中风中风冲击单位冲击单位冲击单位

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