中国卒中杂志2025，Vol.20Issue(11)：1355-1362,8.DOI:10.3969/j.issn.1673-5765.2025.11.003
脑心血管疾病共病"脑心同治"的现状、困境与破局之路
The Current Status,Dilemmas,and Breakthrough Strategies of"Co-Treatment of Brain and Heart"for Comorbid Cerebrocardiovascular Diseases
摘要
Abstract
Cerebrocardiovascular diseases share common core pathophysiological mechanisms such as atherosclerosis and inflammatory responses,often presenting as comorbid cerebrocardiovascular diseases.This significantly increases the disability and mortality rates of patients and has become a major global public health challenge.The conventional organ-centered disciplinary diagnosis and treatment model has deficiencies such as fragmented risk assessment,insufficient treatment coordination,and neglect of the interactive effects of cerebrocardiovascular diseases,which makes it difficult to meet clinical needs.The concept of co-treatment of brain and heart integrates the holistic view of traditional Chinese medicine with modern neurocardiology,takes the brain-heart axis as the core mechanism,and emphasizes the holistic prevention and treatment of cerebrocardiovascular diseases through multidisciplinary collaboration.In recent years,domestic and foreign countries have achieved certain results in clinical practice by establishing joint diagnosis and treatment centers,interdisciplinary working groups,and providing guarantees through legislative forms.However,current practice still faces many challenges,such as insufficient comprehensive assessment of comorbid cerebrocardiovascular diseases,conflicts in treatment plans,and lack of overall prognosis evaluation.This article reviews the clinical practice,challenges,and prospects of co-treatment of brain and heart for comorbid cerebrocardiovascular diseases,aiming to provide reference for further clinical practice in this field.关键词
脑心血管疾病/脑心同治/多学科协作/临床管理Key words
Cerebrocardiovascular disease/Co-treatment of brain and heart/Multidisciplinary collaboration/Clinical management分类
医药卫生引用本文复制引用
伍嘉睿,曹黎明..脑心血管疾病共病"脑心同治"的现状、困境与破局之路[J].中国卒中杂志,2025,20(11):1355-1362,8.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)深圳市第二人民医院高水平医院建设专项(4004013)2025年度深圳市神经系统疾病临床医学研究中心开放课题(SCRCND202503) （4004013）
