缺血性中风复发作为临床终点事件之一,是导致患者死亡、再次住院、长期残疾的主要原因。客观的影像学检查是判断复发的金标准,梗死病灶、症状表现、肢体功能评定、复发时间间隔可提示复发病情的变化。绝大多数研究关注于不同卒中亚型与现代危险因素,而忽视了中医证候要素、患者体质状态对于复发的影响,基于现代危险因素、中医证候要素的疾病复发风险预测模型的研究匮乏,尚不能满足实际应用的需求。应充分发挥中医药的特色与优势防治缺血性中风复发,策略主要包括中医药控制和减低高危因素的风险,开展中医健康教育与随访研究,中医综合康复治疗。
The recurrence ,of ischemic stroke, as one of clinical endpoint events, is a main cause of patients' death, re-hospitalization and long-term disability. Objective imaging examination is a golden standard for judging the recurrence. Infarction focus, symptoms and signs, evaluation of limb functions and recurrence interval are the presentation of changes of patients'conditions. Most studies are paying attention to different subtypes and modem risk factors and ignore the influences of TCM syndrome elements and patients'constitutional status. It is deficient that the researches on recurrence risk forecast model based on modem risk factors and TCM syndrome elements. The characteristics and advantages of TCM should be fully perfolaned for preventing ischemie stroke recurrence, and the strategies include controlling and reducing risk factors with TCM, TCM comprehensive rehabilitation. health education and follow-up research of TCM, and