脑卒中中西医结合防治指南（2023版）

摘要： 近年来我国脑卒中疾病负担仍持续增长，中西医结合治疗脑卒中领域涌现出许多新的临床证据。为更好地指导中西医结合防治脑卒中的临床实践，本工作组在《中西医结合脑卒中循证实践指南（2019）》的基础上，开展指南更新必要性评估与临床问题遴选，确定了需要更新的 12 个临床问题，并以《脑卒中中西医结合防治指南》在中华中医药学会申请立项。参考最新的国内外临床实践指南，基于研究证据的系统检索与客观评价，结合我国中西医临床专家的经验，经过工作组的充分讨论及广泛征求意见，最终形成 18 条推荐意见，以期为各级医疗机构的医务工作者提供科学、具体的指导，促进中西医结合防治脑卒中临床实践的规范性，从而降低脑卒中的死亡率、复发率、残疾率。

关键词: 脑卒中, 中西医结合, 循证实践指南

Abstract: Recently，the burden of stroke in China is currently increasing，and the clinical evidences have emerged in the field of integrative medicine for stroke. To standardize the prevention and treatment of integrative medicine for stroke，twelve research questions were identified after evaluating the necessity of updating guideline and selecting research questions，which were based on "Evidence-based Practice Guideline on Integrative Medicine for Stroke 2019". The guideline project was set up to China Association of Chinese Medicine as "Clinical Practice Guideline for the Prevention and Treatment of Stroke with Integrated Traditional Chinese and Western Medicin". Eighteen recommendations regarding integrative medicine for ischaemic stroke，haemorrhagic stroke，and complications of stroke were proposed following the latest clinical practice guidelines，systematic retrieval and objective evaluation of clinical evidence，experience of clinical experts of Chinese and Western medicine，discussion in working group，and solicited opinion. This guideline provided scientific and specific guidance for medical practitioners at all levels，and promoted the standardized application of integrative medicine for stroke，to reduce the death，recurrence and disability of stroke.Key words: Stroke, Integrative medicine, Evidence-based practice guideline

中图分类号: R 743

引用本文倪小佳,林浩,罗旭飞,等. 脑卒中中西医结合防治指南（2023版）[J]. 中国全科医学, 2025, 28(05): 521-533. DOI: 10.12114/j.issn.1007-9572.2024.0485.

NI Xiaojia,LIN Hao,LUO Xufei, et al. Clinical Practice Guideline for the Prevention and Treatment of Stroke with Integrated Traditional Chinese and Western Medicine (2023 Edition)[J]. Chinese General Practice, 2025, 28(05): 521-533. DOI: 10.12114/j.issn.1007-9572.2024.0485.