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stroke & Vascular Neurology 2020年第3期5卷 250-259页

作者： Tong Zhang Jun Zhao Xueping Li Yulong Bai Baojun Wang Yun Qu Bingjie Li Shengjie Zhao chinese stroke association stroke Council Guideline Writing Committee Department of Neurorehabilitation China Rehabilitation Research CenterBeijingChina Department of Rehabilitation Nanjing First HospitalNanjingJiangsuChina Department of Rehabilitation Huashan Hospital Fudan UniversityShanghaiChina Department of Neurorehabilitation Inner Mongolia Baotou City Central HospitalBaotouInner MongoliaChina Department of Neurorehabilitation Sichuan University West China HospitalChengduSichuanChina 不详

stroke is the third leading cause of long-term *** stroke rehabilitation should be provided to patients with a moderate or severe stroke so as to achieve functional ***,stroke rehabilitation is moving towards more intense therapy models that incorporate technologies such as robotics and computer ***-based guidelines are useful for promoting the best possible clinical *** guideline summarises the modes of stroke rehabilitation in China-three-stage rehabilitation network,rehabilitation of stroke dysfunction,training for activities of daily living,stroke complications and rehabilitation *** aim of this guideline was to provide a synopsis of best clinical practices in the stroke rehabilitation of adult patients in China.

关键词： clinical rehabilitation stroke

chinese stroke association guidelines for clinical management of cerebrovascular disorders:executive summary and 2019 update on organizational stroke management

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stroke & Vascular Neurology 2020年第3期5卷 260-269页

作者： Min Lou Jing Ding Bo Hu Yusheng Zhang Hao Li ZeFeng Tan Yan Wan An-Ding Xu chinese stroke association stroke Council Guideline Writing Committee Department of Neurology The Second Affilliated Hospital of Zhejiang UniversitySchool of MedicineHangzhouChina Department of Neurology Zhongshan Hospital Fudan UniversityShanghaiChina Department of Neurology Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina Department of Neurology and stroke Center The First Affiliated HospitalJinan UniversityGuangzhouChina Beijing Tiantan Hospital Capital Medical UniversityBeijingChina 不详

Aim stroke is characterised by high morbidity,mortality and disability,which seriously affects the health and safety of the *** has become a serious public health problem in *** stroke management can significantly reduce the mortality and disability rates of patients with *** provide this evidence-based guideline to present current and comprehensive recommendations for organisational stroke *** A formal literature search of MEDLINE(1 January 1997 through 30 September 2019)was *** were synthesised with the use of evidence *** group members met by teleconference to discuss data-derived *** chinese stroke association’s Levels of Evidence grading algorithm was used to grade each *** Evidence-based guidelines are presented for the organisational management of patients presenting with *** focus of the guideline was subdivided into prehospital first aid system of stroke,rapid diagnosis and treatment of emergency in stroke centre,organisational management of stroke unit and stroke clinic,construction of regional collaborative network among stroke centres and evaluation and continuous improvement of stroke medical *** The guidelines offer an organisational stroke management model for patients with stroke which might help dramatically.

关键词： diagnosis centre tables

chinese stroke association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of cerebral venous sinus thrombosis

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stroke & Vascular Neurology 2020年第2期5卷 152-158页

作者： Yuhua Fan Jian Yu Hongbing Chen Jian Zhang Jiangang Duan Dapeng Mo Wenhao Zhu Bo Wang Fubing Ouyang Yicong Chen Linfang Lan Jinsheng Zeng chinese stroke association stroke Council CVST Guideline Writing Committee Department of Neurology The First Affiliated HospitalSun Yat-sen UniversityGuangdong Provincial Key Laboratory for Diagnosis and Treatment of Major Neurological DiseasesNational Key Clinical Department and Key Discipline of NeurologyGuangzhouChina Department of Neurology and Department of Emergency Xuanwu HospitalCapital Medical UniversityBeijingChina Department of Interventional Neuroradiology Beijing Tiantan HospitalCapital Medical UniversityBeijingChina Department of Neurology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina 不详

Aim Cerebral venous sinus thrombosis(CVST)is a less common cerebrovascular disease that predominantly affects young *** incidence of CVST is 2-5/10000000/year,accounting for 0.5%-1%of all *** reduce mortality and morbidity associated with CVST,chinese stroke association commissioned the authors to write the current guideline on the management of *** PubMed(MEDLINE),CNKI and Wanfang database were searched for studies related to CVST from 1 January 1990 to 31 July *** were synthesised by evidence *** recommendation was fully discussed by the writing group members and reviewed by chinese stroke association stroke Fellow *** of evidence grading algorithm of chinese stroke association was used to grade each *** This guideline mainly focuses on the diagnostic evaluation,therapeutic strategies and secondary prevention of ***/CTV and MRI/MRV are recommended in the initial imaging evaluation of patients with suspected *** therapy with low-molecular weight heparin should be initiated in patients with CVST *** the acute stage,warfarin is recommended for 3-6 months to prevent the recurrence of CVST and other venous thromboembolic *** The guideline summarises the current evidence regarding the management of CVST,and provides references for diagnosis,treatment and secondary prevention of CVST in China.

关键词： prevention tables initiated

chinese stroke association guidelines for clinical management of cerebrovascular disorders:executive summary and 2019 update of clinical management of spontaneous subarachnoid haemorrhage

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stroke & Vascular Neurology 2019年第4期4卷 176-181页

作者： Yi Dong Zhen-Ni Guo Qi Li Wei Ni Hongqiu Gu Yu-Xiang Gu Qiang Dong 无 Department of Neurology Huashan HospitalFudan UniversityShanghaiChina Department of Neurology The First Hospital of Jilin UniversityJilinChina Department of Neurology the First Affiliated Hospital of Chongqing Medical UniversityChongqingChina Neurosurgery Fudan University Huashan Hospital Department of NeurosurgeryShanghaiChina China National Clinical Research Center for Neurological Diseases Beijing Tiantan HospitalCapital Medical UniversityBeijingChina State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science Institutes of Brain ScienceFudan UniversityShanghaiChina chinese stroke association stroke Council Guideline Writing Committee

caused by ruptured cerebral aneurysm is a severe subtype of haemorrhagic *** the incidence of SAH is relatively low among all cerebrovascular diseases,the mortality is the *** critical management of SAH is *** provide this evidence-based guideline to present current and comprehensive recommendations for the diagnosis and treatment of non-trauma *** A formal literature search of MEDLINE(1 January 1990-30 June 2019)was *** were synthesised with the use of evidence *** group members met by teleconference to discuss data-derived *** chinese stroke association’s levels of evidence grading algorithm was used to grade each *** guideline draft was reviewed by chinese stroke association’s stroke Fellow *** is intended that this guideline be fully updated every 3 *** Evidence-based guidelines are presented for the care of patients presenting with non-trauma *** focus of the guideline was subdivided into transfer and systems of care,diagnosis flowchart,aetiology and differentiation,prevention of rebleeding,surgical and endovascular repair of ruptured aneurysms,management of vasospasm and delayed cerebral ischaemia,management of hydrocephalus,management of seizures and management of medical *** The guideline offers a framework for SAH *** professional and aggressive care of SAH might help dramatically.

关键词： diagnosis prevention tables

chinese stroke association guidelines for clinical management of cerebrovascular disorders:executive summary and 2019 update of the management of high-risk population

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stroke & Vascular Neurology 2020年第3期5卷 270-278页

作者： Yilong Wang Shangrong Han Haiqiang Qin Huaguang Zheng Bin Jiang Yong Cao Yuan Gao Ling Guan Qian Jia Yong Jiang Yuming Jiao Shuya Li Yapeng Li Zixiao Li Wei Liu Xiaojuan Ru Dongling Sun Haixin Sun Penglian Wang Tingting Wang Lixia Zong Lei Guo Xuewei Xie Yuming Xu Yuyuan Xu Xiaomeng Yang Yingying Yang Mengyuan Zhou Wenzhi Wang chinese stroke association stroke Council Guideline Writing Committee Department of Neurology Beijing Tiantan HospitalCapital Medical UniversityBeijingChina China National Clinical Research Center for Neurological Diseases BeijingChina Department of Neuroepidemiology Beijing Neurosurgical InstituteCapital Medical UniversityBeijingChina Beijing Municipal Key Laboratory of Clinical Epidemiology BeijingChina Department of Neurosurgery Beijing Tiantan HospitalCapital Medical UniversityBeijingChina Neurology Zhengzhou University First Affiliated HospitalZhengzhouHenanChina Department of Neurology Beijing Haidian HospitalBeijingChina 不详

Aim Cerebrovascular disease is the leading cause of death and disability in China,causing a huge burden among patients and their ***,stroke prevention is critical,especially in the high-risk ***,we present the evidence-based guideline suitable for the chinese *** Literature search of PubMed and Cochrane library(from January 1964 to June 2019)was *** thorough discussion among the writing group members,recommendations were listed and *** guideline was reviewed and discussed by the fellow writing committees of the chinese stroke association’s *** This evidence-based guideline was written in three parts:controlling the risk factors of stroke,utilisation of antiplatelet agents and assessing the risks of first-ever *** recommendations were listed along with the recommending classes and levels of *** This guideline provides recommendations for primary prevention of cerebrovascular disease among high-risk population in *** related risk factors,appropriately using antiplatelet agents,assessing the risk of developing first-ever stroke should help reduce the rate of cerebrovascular disease in China.

关键词： prevention listed high

China stroke Statistics 2019:A Report From the National Center for Healthcare Quality Management in Neurological Diseases,China National Clinical Research Center for Neurological Diseases,the chinese stroke association,National Center for Chronic and Non-communicable Disease Control and Prevention,chinese Center for Disease Control and Prevention and Institute for Global Neuroscience and stroke Collaborations

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stroke & Vascular Neurology 2020年第3期5卷 211-239页

作者： Yong-Jun Wang Zi-Xiao Li Hong-Qiu Gu Yi Zhai Yong Jiang Xing-Quan Zhao Yi-Long Wang Xin Yang Chun-Juan Wang Xia Meng Hao Li Li-Ping Liu Jing Jing Jing Wu An-Ding Xu Qiang Dong David Wang Ji-Zong Zhao On behalf of China stroke Statistics 2019 Writing Committee China National Clinical Research Center for Neurological Diseases Beijing Tiantan HospitalCapital Medical UniversityBeijingChina National Center for Healthcare Quality Management in Neurological Diseases Beijing Tiantan HospitalCapital Medical UniversityBeijingChina National Center for Chronic and Non-communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina Department of Neurology and stroke Center The First Affiliated HospitalJinan UniversityGuangzhouGuangdongChina Department of Neurology Huashan HospitalFudan UniversityShanghaiChina Neurovascular Division Department of NeurologyBarrow Neurological InstituteSt.Joseph's Hospital and Medical CenterPhoenixArizonaUSA 不详

China faces the greatest challenge from stroke in the *** death rate for cerebrovascular diseases in China was 149.49 per 100000,accounting for 1.57 million deaths in *** ranked third among the leading causes of death behind malignant tumours and heart *** age-standardised prevalence and incidence of stroke in 2013 were 1114.8 per 100000 population and 246.8 per 100000 person-years,*** to the Global Burden of Disease Study 2017,the years of life lost(YLLs)per 100000 population for stroke increased by 14.6%;YLLs due to stroke rose from third highest among all causes in 1990 to the highest in *** absolute numbers and rates per 100000 population for all-age disability-adjusted life years(DALYs)for stroke increased substantially between 1990 and 2017,and stroke was the leading cause of all-age DALYs in *** main contributors to cerebrovascular diseases include behavioural risk factors(smoking and alcohol use)and pre-existing conditions(hypertension,diabetes mellitus,dyslipidaemia and atrial fibrillation(AF)).The most prevalent risk factors among stroke survivors were hypertension(63.0%-84.2%)and smoking(31.7%-47.6%).The least prevalent was AF(2.7%-7.4%).The prevalences for major risk factors for stroke are high and most have increased over *** on the latest national epidemiological data,26.6%of adults aged≥15 years(307.6 million adults)smoked tobacco *** those aged≥18 years,age-adjusted prevalence of hypertension was 25.2%;adjusted prevalence of hypercholesterolaemia was 5.8%;and the standardised prevalence of diabetes was 10.9%.For those aged≥40 years,the standardised prevalence of AF was 2.31%.Data from the Hospital Quality Monitoring System showed that 3010204 inpatients with stroke were admitted to 1853 tertiary care hospitals during *** those,2466785(81.9%)were ischaemic strokes(ISs);447609(14.9%)were intracerebral haemorrhages(ICHs);and 95810(3.2%)were subarachnoid haemorrhages(SAHs).The average age

关键词： admitted smoke insurance

CSA declaration of next- generation reperfusion therapy for ischaemic stroke

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stroke & Vascular Neurology 2024年第5期9卷 459-460页

作者： chinese stroke association chinese stroke association

Cerebrovascular disease is a significant health concern that threatens people’s health and life. About 80% of its burden comes from ischaemic stroke. Early reperfusion therapy is the key to timely restore blood flow ... 详细信息

关键词： reperfusion ischaemic therapy

Multidisciplinary experts consensus for assessment and management of vestibular migraine

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chinese Medical Journal 2019年第2期132卷 183-189页

作者： stroke and Vertigo association of chinese stroke association Xiao-Kun Qi Xing-Quan Zhao 不详 Department of Neurology the Sixth Medical CenterChinese PLA General HospitalBeijing 100048China Department of Neurology Tiantan Hospital of Capital Medical UniversityBeijing 100050China

Introduction Vestibular migraine (VM), a common disorder with familiar predisposition, is characterized by recurrent episode of dizziness or vertigo and accompanying symptoms of nausea, vomiting, and/or *** patients with VM may require neurologic, emergency, or otorhinolaryngologic services, and the disorder is often misdiagnosed with posterior circulation ischemia (PCI) or transient ischemic attack (TIA), peripheral vestibular vertigo, Meniere’s disease (MD), and multiple (lacunar) cerebral *** from population-based study showed that the prevalence of VM was up to 1%,^[1] which was one of the common disorders causing dizziness/vertigo, and the rate of misdiagnosis was up to 80%.[2] Thus, a multidisciplinary expert consensus about the definition, characteristics, related work-ups, and diagnostic criteria is needed for the accurate diagnosis and standardized management.

关键词： Introduction Vestibular familiar predisposition characterized

中国卒中学会急性缺血性卒中再灌注治疗指南2024

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中国卒中杂志 2024年第12期 1460-1478页

作者： chinese stroke association Writing Group of chinese stroke association Guidelines on Reperfusion Therapy for Acute Ischemic stroke 2024 中国卒中学会《中国卒中学会急性缺血性卒中再灌注治疗指南2024》编写组

近年来，急性缺血性卒中静脉溶栓和机械取栓领域的临床试验取得了显著进展，新的研究结果不断扩大静脉溶栓和机械取栓的适应证人群。基于研究进展，中国卒中学会急性缺血性卒中再灌注治疗指南2024编写组邀请我国卒中领域的专家，对现有... 详细信息

近年来，急性缺血性卒中静脉溶栓和机械取栓领域的临床试验取得了显著进展，新的研究结果不断扩大静脉溶栓和机械取栓的适应证人群。基于研究进展，中国卒中学会急性缺血性卒中再灌注治疗指南2024编写组邀请我国卒中领域的专家，对现有的急性缺血性卒中再灌注治疗证据进行广泛讨论，形成了分级推荐意见。本次指南制定对静脉溶栓和机械取栓治疗的最新筛选标准进行了概述，并汇总了不同溶栓药物选择的现有证据，以期对急性缺血性卒中的再灌注治疗决策提供帮助。

关键词：缺血性卒中脑血管病再灌注治疗机械取栓血管内治疗静脉溶栓

chinese Guidelines for the Diagnosis and Management of Tumefactive Demyelinating Lesions of Central Nervous System

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chinese Medical Journal 2017年第15期130卷 1838-1850页

作者： Qi, Xiao-Kun Liu, Jian-Guo Neuroimmunology Group of Neurology Branch of chinese Medical association Neuroimmunology Committee of Chinese Society for Immunology Immunology Society of Chinese Stroke Association

Tumefactive demyelinating lesions （TDLs）,[1-3] previously named as tumor-like inflammatory demyelinating disease[4,5] or demyelinating pseudotumor,[6] are relatively special type of immune-mediated inflammatory demyelinating lesions in the central nervous system （CNS）,[7] which mainly occur within cerebrum,but rarely in spinal *** are so named because it mimics brain tumors with such characteristics as less severe symptoms,large lesions with perilesional edema,mass effect and/or enhancement on neuroimaging,and easily misdiagnosed as brain tumors.[8,9]

关键词： Diagnosis Criteria Guideline Tumefactive Demyelinating Lesions