急性缺血性脑卒中溶栓代理决策者决策困境的研究进展

doi:10.3761/j.issn.2096-7446.2026.04.020

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (4): 503-507.doi: 10.3761/j.issn.2096-7446.2026.04.020

急性缺血性脑卒中溶栓代理决策者决策困境的研究进展

李玲玲¹(), 任李媛¹, 马佩芬², 颜辉², 王兴蕾³, 苏璇⁴, 豆欣蔓¹^,^*()

¹ 兰州大学护理学院兰州市 730000
² 兰州大学第二医院护理部兰州市 730030
³ 兰州大学第二医院心血管内科兰州市 730030
⁴ 兰州大学第二医院重症医学科兰州市 730030

收稿日期:2025-05-15 出版日期:2026-04-10 发布日期:2026-04-02
通讯作者: 豆欣蔓 E-mail:1649959567@qq.com;douxm@lzu.edu.cn
作者简介:李玲玲：女，本科（硕士在读），主管护师，E-mail：1649959567@qq.com
基金资助:
2024年甘肃省第五批省级科技计划（联合科研基金）(24JRRA925)

Research progress on decision-making dilemmas of surrogate decision makers for thrombolysis in acute ischemic stroke

LI Lingling¹(), REN Liyuan¹, MA Peifen², YAN Hui², WANG Xinglei³, SU Xuan⁴, DOU Xinman¹^,^*()

¹ School of Nursing， Lanzhou University， Lanzhou 730000， China
² Nursing Department， the Second Hospital of Lanzhou University， Lanzhou 730030， China
³ Department of Cardiovascular Medicine， the Second Hospital of Lanzhou University， Lanzhou 730030， China
⁴ Department of Critical Care Medicine， the Second Hospital of Lanzhou University， Lanzhou 730030， China

Received:2025-05-15 Online:2026-04-10 Published:2026-04-02
Contact: DOU Xinman E-mail:1649959567@qq.com;douxm@lzu.edu.cn
Supported by:
The 5th Batch of Provincial Science and Technology Plan（Joint Research Fund） of Gansu Province，2024(24JRRA925)

摘要/Abstract

摘要：

急性缺血性脑卒中溶栓代理决策者常因多重压力陷入决策困境，导致决策延迟。该文对急性缺血性脑卒中溶栓代理决策者决策困境的概念内涵、评估工具、影响因素及应对策略进行综述，提出了溶栓决策临床实践路径以及现有研究的不足和建议，旨在为早期识别决策困境风险、人工智能赋能制订个体化决策辅助方案、进一步优化急性缺血性脑卒中救治流程提供理论和实践依据。

关键词: 缺血性卒中, 溶栓, 代理决策者, 决策困境, 人工智能, 综述文献专题

Abstract:

Surrogate decision-makers for thrombolysis in acute ischemic stroke often fall into decision-making dilemmas due to multiple pressures，resulting in decision delays. This article reviews the connotation，assessment tools，influencing factors，and coping strategies of the decision-making dilemma of surrogate decision makers for thrombolytic therapy in acute ischemic stroke，proposes the thrombolytic decision-making clinical practice pathway，limitation of current research and suggestions. It aims to provide theoretical and practical basis for early identification of decision-making dilemma risks，AI-enabled formulation of individualized decision-making assistance plans，and further optimization of the treatment process for acute ischemic stroke.

Key words: Ischemic Stroke, Thrombolysis, Surrogate Decision Makers, Decision-Making Dilemma, Artificial Intelligence, Review Literature as Topic

李玲玲, 任李媛, 马佩芬, 颜辉, 王兴蕾, 苏璇, 豆欣蔓. 急性缺血性脑卒中溶栓代理决策者决策困境的研究进展[J]. 中华急危重症护理杂志, 2026, 7(4): 503-507.

LI Lingling, REN Liyuan, MA Peifen, YAN Hui, WANG Xinglei, SU Xuan, DOU Xinman. Research progress on decision-making dilemmas of surrogate decision makers for thrombolysis in acute ischemic stroke[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 503-507.

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急性缺血性脑卒中溶栓代理决策者决策困境的研究进展

Research progress on decision-making dilemmas of surrogate decision makers for thrombolysis in acute ischemic stroke

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