ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2026 , Vol. 7 >Issue 4: 503 - 507

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.04.020

综述

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 ,
  • 任李媛 ,
  • 马佩芬 ,
  • 颜辉 ,
  • 王兴蕾 ,
  • 苏璇 ,
  • 豆欣蔓
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  • 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
李玲玲：女，本科（硕士在读），主管护师，E-mail：1649959567@qq.com
* 豆欣蔓，E-mail：douxm@lzu.edu.cn

收稿日期: 2025-05-15

  网络出版日期: 2026-04-02

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)

收起

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

  • LI Lingling ,
  • REN Liyuan ,
  • MA Peifen ,
  • YAN Hui ,
  • WANG Xinglei ,
  • SU Xuan ,
  • DOU Xinman
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  • 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
* DOU Xinman，E-mail：douxm@lzu.edu.cn

Received date: 2025-05-15

  Online published: 2026-04-02

Supported by

The 5th Batch of Provincial Science and Technology Plan（Joint Research Fund） of Gansu Province，2024(24JRRA925)

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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

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2026.04.020

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

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