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以全球卒中决议为契机,推动中国脑血管病防治高质量发展OA

Taking the Global Stroke Resolution as an Opportunity to Promote High-Quality Development of Cerebrovascular Disease Prevention and Treatment in China

中文摘要英文摘要

卒中是全球第二大死亡病因和第三大致残原因,且其疾病负担持续攀升.2026年5月,第79届世界卫生大会通过了首个卒中专项决议——减轻卒中负担:加强预防、急性期治疗、康复和卫生系统准备.中国是全球卒中负担最重的国家之一,在卒中危险因素控制、救治均衡性、全病程管理及基层体系韧性方面仍面临重大挑战.本文系统解读该决议的核心内涵与全球卫生治理意义,分析中国卒中防治现状与瓶颈,提出"预防前移、急救提速、康复延伸、体系强化、数字赋能"的实施路径.未来中国应夯实卒中的一级预防与机会性筛查,推进卒中与认知障碍等脑健康相关疾病的同防同治,优化区域协同急救网络,健全康复与二级预防连续服务链,建立全国脑血管病监测登记系统,强化数字技术与多部门协同支撑,加快向全病程健康管理转型,为全球卒中防治贡献中国力量.

Stroke is the second leading cause of death and the third leading cause of disability globally,with a continuously rising disease burden.In May 2026,the 79th World Health Assembly adopted the first stroke-specific resolution—reducing the burden of stroke:strengthening prevention,acute care,rehabilitation and health system readiness.China bears one of the heaviest stroke burdens worldwide,and faces persistent challenges in risk factor control,equitable acute care,full-course management,and primary healthcare resilience.This article systematically interprets the resolution's core content and global health governance implications,analyzes the current status and bottlenecks in stroke prevention and treatment in China,and proposes an implementation pathway characterized by"prevention advancement,emergency acceleration,rehabilitation extension,system strengthening,and digital empowerment."Future efforts should consolidate primary prevention and opportunistic screening,promote the integrated prevention and treatment of stroke and brain health conditions such as cognitive impairment,optimize regional coordinated emergency networks,strengthen the continuous service chain of rehabilitation and secondary prevention,establish a national cerebrovascular disease surveillance and registry system,and enhance digital technology and multi-sectoral collaboration,thereby accelerating the transition toward full-course health management and contributing China's action to global stroke prevention and control.

李天琪;杨昕;姜勇;王拥军

北京 100070 首都医科大学附属北京天坛医院,中国神经系统疾病人群防治合作中心办公室||北京 100070 国家级脑血管病防治技术牵头单位,国家神经疾病医学中心北京 100070 首都医科大学附属北京天坛医院,中国神经系统疾病人群防治合作中心办公室||北京 100070 国家级脑血管病防治技术牵头单位,国家神经疾病医学中心北京 100070 首都医科大学附属北京天坛医院,中国神经系统疾病人群防治合作中心办公室||北京 100070 国家级脑血管病防治技术牵头单位,国家神经疾病医学中心||北京 100070 首都医科大学附属北京天坛医院神经系统疾病国家临床医学研究中心北京 100070 首都医科大学附属北京天坛医院,中国神经系统疾病人群防治合作中心办公室||北京 100070 国家级脑血管病防治技术牵头单位,国家神经疾病医学中心||北京 100070 首都医科大学附属北京天坛医院神经系统疾病国家临床医学研究中心||北京 100070 国家神经系统疾病医疗质量控制中心||北京 100070 首都医科大学附属北京天坛医院神经病学中心

医药卫生

卒中世界卫生大会卒中决议防治体系脑健康中国行动

StrokeWorld Health AssemblyStroke resolutionPrevention and control systemBrain healthChina's action

《中国卒中杂志》 2026 (7)

789-796,8

10.3969/j.issn.1673-5765.2026.07.001

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