重症缺血性脑卒中患者护理指南

doi:10.3761/j.issn.0254-1769.2026.13.007

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (13): 1776-1783.DOI: 10.3761/j.issn.0254-1769.2026.13.007

重症缺血性脑卒中患者护理指南

中华护理学会内科护理专业委员会(执笔：曹闻亚¹(), 常红¹^,^*(), 金静芬², 龚立超¹, 王萱³, 曹咏新)³

¹ 首都医科大学宣武医院神经内科老年疾病国家临床医学研究中心北京市 100053
² 浙江大学医学院附属第二医院护理部杭州市 310003
³ 首都医科大学护理学院北京市 100069

收稿日期:2026-02-09 出版日期:2026-07-10 发布日期:2026-07-01
*通讯作者: 常红，E-mail：changhong19791111@126.com
作者简介:曹闻亚：女，硕士，副主任护师，护士长，E-mail：247212508@qq.com
基金资助:
北京高层次创新创业领军人才“青苗计划项目”(2-1-008-0260)

Nursing guidelines for patients with severe ischemic stroke

Internal Medicine Nursing Committee of Chinese Nursing Association (Writing Committee：CAO Wenya¹(), CHANG Hong¹^,^*(), JIN Jingfen², GONG Lichao¹, WANG Xuan³, CAO Yongxin)³

¹ Department of Neurology， Xuanwu Hospital，Capital Medical University，National Center for Neurological Disorders，National Clinical Research Center for Geriatric Diseases， Beijing 100053， China
² Department of Nursing， the Second Affiliated Hospital，Zhejiang University School of Medicine， Hangzhou 310003， China
³ School of Nursing， Capital Medical University， Beijing 100069， China

Received:2026-02-09 Online:2026-07-10 Published:2026-07-01
* Corresponding author: CHANG Hong，E-mail：changhong19791111@126.com
Funding program:
Beijing High-Level Innovation and Entrepreneurship Leading Talent “Young Seedling Plan Project”(2-1-008-0260)

1. “重症缺血性脑卒中患者护理指南”全文.pdf(1293KB)

摘要/Abstract

摘要：

目的制订“重症缺血性脑卒中患者护理指南”，为重症缺血性脑卒中患者急性期的临床护理实践提供科学依据，以推动护理的规范化。方法严格遵循循证护理实践指南的制订流程，构建“重症缺血性脑卒中患者护理指南”草案。采用临床指南研究与评估工具Ⅱ对其进行专家评审，并根据专家评审结果及建议对指南进行修订，最终形成正式指南。结果 “重症缺血性脑卒中患者护理指南”推荐意见涵盖了多维度监测护理、多系统功能支持护理、并发症防治护理及早期康复护理4个方面。结论 “重症缺血性脑卒中患者护理指南”是基于最佳证据、临床实际情况及专业人员判断形成的循证指南，可为从事此类患者急性期护理的护士提供科学决策的实践依据。

关键词: 重症缺血性脑卒中, 指南, 重症护理

Abstract:

Objective To develop the Nursing Guidelines for Patients with Severe Ischemic Stroke，aiming to provide a scientific basis for clinical nursing practice during the acute phase for patients with severe ischemic stroke，and to promote the standardization of nursing. Methods Strictly adhering to the development process for evidence-based nursing practice guidelines，a draft of the Nursing Guidelines for Patients with Severe Ischemic Stroke was constructed. The appraisal of guidelines for research & evaluation Ⅱ was used to conduct a comprehensive expert appraisal of the draft. The guidelines were subsequently revised based on the expert appraisal results and suggestions，culminating in the formation of the final formal guidelines. Results The recommendations of the guidelines cover 4 key areas：multidimensional monitoring care，multisystem functional support care，complication prevention and treatment care，and early rehabilitation care for severe ischemic stroke. Conclusion The Nursing Guidelines for Patients with Severe Ischemic Stroke is an evidence-based guideline formulated based on the best available evidence，clinical practical circumstances，and professional judgment. It can serve as a practical basis for scientific decision-making by clinical nursing staff involved in the acute-phase care of such patients.

Key words: Severe Ischemic Stroke, Guideline, Critical Care

中华护理学会内科护理专业委员会(执笔：曹闻亚, 常红, 金静芬, 龚立超, 王萱, 曹咏新). 重症缺血性脑卒中患者护理指南[J]. 中华护理杂志, 2026, 61(13): 1776-1783.

Internal Medicine Nursing Committee of Chinese Nursing Association (Writing Committee：CAO Wenya, CHANG Hong, JIN Jingfen, GONG Lichao, WANG Xuan, CAO Yongxin). Nursing guidelines for patients with severe ischemic stroke[J]. Chinese Journal of Nursing, 2026, 61(13): 1776-1783.

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[14]	中华护理学会重症护理专业委员会（执笔：熊杰孙红吴晓英关欣李黎明张莉田永明）. 成人有创机械通气患者院内转运安全管理专家共识[J]. 中华护理杂志, 2025, 60(17): 2053-2055.
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