中国卒中杂志2025，Vol.20Issue(11)：1335-1343,9.DOI:10.3969/j.issn.1673-5765.2025.11.001
脑心血管疾病共病的"四同"管理体系:从以器官为中心到系统整合
"Four-in-One"Management System for Comorbid Cerebrocardiovascular Diseases:from Organ-Centered to Systemic Integration
摘要
Abstract
As the leading cause of death and disability worldwide,cerebrocardiovascular diseases share the common pathological basis of atherosclerosis and vascular risk factors such as hypertension and diabetes mellitus.They often coexist in the form of comorbid cerebrocardiovascular diseases.The traditional department-based diagnosis and treatment model leads to fragmented prevention and treatment,low utilization efficiency of medical resources,ultimately limiting the improvement in patients'overall prognosis.Based on the bidirectional regulation mechanism of the brain-heart axis,this paper systematically proposes a"Four-in-One"management system for comorbid cerebrocardiovascular diseases,which emphasizes co-prevention,co-screening,co-treatment,and co-rehabilitation.Co-prevention focuses on the whole-cycle prevention and control of common risk factors,and prevents diseases before they occur through lifestyle interventions and risk factor management;co-screening relies on cerebrocardiac combined multimodal examinations to achieve simultaneous assessment of the structure and function of the cerebrovascular and cardiovascular systems;co-treatment takes multi-disciplinary collaboration as the core,formulates coordinated plans,and resolves treatment conflicts and fragmented diagnosis and treatment;co-rehabilitation builds an integrated rehabilitation pathway that takes both cardiac and cerebral functions into account,realizing the mutual promotion and joint recovery of cardiac and cerebral functions.Combined with the latest evidence-based evidence and China's medical practice,this paper demonstrates the scientificity and necessity of this system,analyzes the challenges in its implementation,and puts forward development directions.It aims to provide a theoretical basis and practical path for improving the prognosis of patients with comorbid cerebrocardiovascular diseases and reducing the disease burden.关键词
脑心血管疾病/统一管理/多模态检查/联合治疗/整体康复Key words
Cerebrocardiovascular disease/Unified management/Multimodal examination/Combined treatment/Holistic rehabilitation分类
医药卫生引用本文复制引用
罗令夫,樊燕琴,曹黎明,任力杰..脑心血管疾病共病的"四同"管理体系:从以器官为中心到系统整合[J].中国卒中杂志,2025,20(11):1335-1343,9.基金项目
癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项(2023ZD0504800 （）
2023ZD0504802)神经与肿瘤药物研发全国重点实验室开放课题重点项目(SKLSIM-F-202496)深圳市神经系统疾病临床医学研究中心资助计划(LCYSSQ20220823091204009)深圳市医防融合(神经系统疾病)项目(深卫健体改[2019]25号) （SKLSIM-F-202496）
