将中风服务纳入医疗保健系统：一种实用的方法

Integrating stroke servicesin health-care systems:A practical approach Integrating stroke services in health-care systems: A practical approach.ISBN: 978-92-9022-813-4© World Health Organization 2020Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0IGO licence (CCBY-NC-SA3.0IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo).Under the terms of this licence, you may copy, redistribute and adapt the work fornon-commercial purposes, provided the work is appropriately cited, as indicated below.In any use of this work, there should be no suggestion that WHO endorses any specificorganization, products or services. The use of the WHO logo is not permitted. If youadapt the work, then you must license your work under the same or equivalent CreativeCommons licence. If you create a translation of this work, you should add the followingdisclaimer along with the suggested citation: “This translation was not created by theWorld Health Organization (WHO). WHO is not responsible for the content or accuracyof this translation. The original English edition shall be the binding and authentic edition”.Any mediation relating to disputes arising under the licence shall be conducted inaccordance with the mediation rules of the World Intellectual Property Organization.Suggested citation. Integrating stroke services in health-care systems: A practicalapproach. New Delhi: World Health Organization, Regional Office for South-East Asia;2020. Licence: CCBY-NC-SA3.0IGO.Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris.Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing,see http://www.who.int/about/licensing.Third-party materials. If you wish to reuse material from this work that is attributed toa third party, such as tables, figures or images, it is your responsibility to determinewhether permission is needed for that reuse and to obtain permission from thecopyright holder. The risk of claims resulting from infringement of any third-party-ownedcomponent in the work rests solely with the user.General disclaimers. The designations employed and the presentation of the materialin this publication do not imply the expression of any opinion whatsoever on the partof WHO concerning the legal status of any country, territory, city or area or of itsauthorities, or concerning the delimitation of its frontiers or boundaries. Dotted anddashed lines on maps represent approximate border lines for which there may not yet befull agreement.The mention of specific companies or of certain manufacturers’ products does not implythat they are endorsed or recommended by WHO in preference to others of a similarnature that are not mentioned. Errors and omissions excepted, the names of proprietaryproducts are distinguished by initial capital letters.All reasonable precautions have been taken by WHO to verify the information containedin this publication. However, the published material is being distributed without warrantyof any kind, either expressed or implied. The responsibility for the interpretation and useof the material lies with the reader. In no event shall WHO be liable for damages arisingfrom its use.Printed in India contentsAcknowledgementsPrefaceList of acronyms1.BASIC OVERVIEW OF STROKEWhat is transient ischaemic attack?How does our brain function?What are the risk factors of stroke?2.RECOGNIZING STROKEFAST TestOther possible symptomsFirst responder3.STROKE MANAGEMENT AT PRIMARY HEALTH FACILITYAirway breathing circulation (ABC) management4.MANAGEMENT AT AN ADVANCED STROKE FACILITY5.POST-DISCHARGE REHABILITATION6.STRENGTHENING INTEGRATED STROKE SERVICES7.STROKE SURVEILLANCEWhy a stroke surveillance system?WHO STEPS stroke surveillance systemEstablishment of stroke registriesHospital-based stroke registry (HBSR)Population-based stroke registry (PBSR)8.ACOUNTABILITY AND PERFORMANCE MEASURES INSTROKE CARE9.References ivvvi11271012141517182445566666667070717379 ACKNOWLEDGEMENTSThe document was conceptualized by Dr Thaksaphon Thamarangsi and Dr Gampo Dorjiof the WHO Regional Office for South-East Asia. The technical contents were prepared byDr Jeyaraj D.Pandian, Dr Ivy Sebastian and Dr Dorcas Gandhi from Christian Medical College,Ludhiana, India.The following experts conducted peer review of the document: Dr P.N. Sylaja, Dr YogeshwarKalkonde, Dr R.Sukanya, Dr Bo Norvving, Dr Peter Langhorne, Dr Yangchen, Dr Tashi Tenzinand Dr Kyaw Kan Kuang. Staff from WHO offices, Dr Sadhana Bhagwat, Dr Manju Rani,Dr Patanjali D. Nayar and Dr Thushara Fernando, reviewed the document.Photograph demonstration was supported by Dr Radha Kumari (PT), Mr Arul Nathaneal SB,Ms Jerin Jose, Mr Harsimranjit Singh and Mr Deepak Kumar. Integrating stroke services in health-care systems: A practical approachStroke is a major public health problem across the