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中华脑血管病杂志(电子版)

中华脑血管病杂志(电子版) ›› 2026, Vol. 20 ›› Issue (03) : 294 -300. doi: 10.3877/cma.j.issn.1673-9248.2026.03.009

临床研究

5G+智慧急救系统在急性大血管闭塞性缺血性脑卒中救治中的意义
刘心怡1, 林晓晖1, 陈荣城1, 林进皇1, 林定来1, 易婷玉1,†(), 吴燕敏1, 陈文伙2,†()   
  1. 1　363000　福建漳州，福建医科大学附属漳州市医院神内脑血管病介入科
    2　350001　福州，福建医科大学附属协和医院脑血管病介入科
  • 收稿日期:2026-02-06 出版日期:2026-06-01
  • 通信作者: 易婷玉, 陈文伙
  • 基金资助:
    福建省自然科学基金计划项目(2023J01122394)

Application value of 5G+ intelligent emergency system in the treatment of patients with acute large vessel occlusion ischemic stroke

Xinyi Liu1, Xiaohui Lin1, Rongcheng Chen1, Jinhuang Lin1, Dinglai Lin1, Tingyu Yi1,†(), Yanmin Wu1, Wenhuo Chen2,†()   

  1. 1 Department of Cerebral Vascular Disease Intervention, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou 363000, China
    2 Department of Cerebrovascular Disease Intervention, Fujian Medical University Union Hospital, Fuzhou 350001, China
  • Received:2026-02-06 Published:2026-06-01
  • Corresponding author: Tingyu Yi, Wenhuo Chen
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刘心怡, 林晓晖, 陈荣城, 林进皇, 林定来, 易婷玉, 吴燕敏, 陈文伙. 5G+智慧急救系统在急性大血管闭塞性缺血性脑卒中救治中的意义[J/OL]. 中华脑血管病杂志(电子版), 2026, 20(03): 294-300.

Xinyi Liu, Xiaohui Lin, Rongcheng Chen, Jinhuang Lin, Dinglai Lin, Tingyu Yi, Yanmin Wu, Wenhuo Chen. Application value of 5G+ intelligent emergency system in the treatment of patients with acute large vessel occlusion ischemic stroke[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2026, 20(03): 294-300.

目的

探讨5G+智慧急救系统在急性大血管闭塞性缺血性脑卒中患者救治中的应用效果。

方法

选取2022年1月1日至2024年3月1日在福建医科大学附属漳州市医院接受血管内治疗的患者，按照是否使用5G+智慧急救系统转运将患者分为5G转运组和非5G转运组。对比2组患者的救治时间（发病至血管穿刺时间、到院至血管穿刺时间、到院至血管开通时间和穿刺至血管开通时间）和90 d临床结局。采用Wilcoxon秩和检验比较2组患者救治时间的差异，采用Pearson χ2检验比较2组患者临床结局的差异。

结果

本研究共入组76例患者，其中5G转运组患者25例，非5G转运组患者51例。与非5G转运组患者相比，5G转运组患者的发病至血管穿刺时间[215.0（142.0，355.0）min vs 510.0（348.0，789.0）min]、到院至血管穿刺时间[24.0（19.5，26.0）min vs 91.0（79.0，112.5）min]、到院至血管开通时间[77.0（61.0，101.5）min vs 146.0（114.0，169.5）min]均明显缩短，差异均有统计学意义（Z=4.505、6.890、4.732，P均<0.001）；2组患者的穿刺至血管开通时间比较，差异无统计学意义（P>0.05）。与非5G转运组患者相比，90 d后5G转运组患者的功能独立性更好（改良Rankin量表评分0~3分患者比例：68.00% vs 35.29%），症状性颅内出血率（0 vs 17.65%）和90 d内病死率（0 vs 33.33%）均更低，差异均有统计学意义（χ2=7.223、5.004、10.734，P=0.007、0.025、0.001）。

结论

5G+智慧急救系统通过优化脑卒中救治流程，有效缩短了救治时间，显著改善了急性大血管闭塞性缺血性脑卒中患者预后。

关键词: 脑梗死, 5G+智慧急救系统, 血栓切除术, 绿色通道
Objective

To explore the application effect of 5G+ intelligent emergency system in the treatment of patients with acute large vessel occlusion ischemic stroke.

Methods

The patients who received endovascular treatment in Zhangzhou Affiliated Hospital of Fujian Medical University from January 1, 2022 to March 1, 2024 were selected and divided into 5G transport group and non-5G transport group according to whether the 5G+ intelligent emergency system was used. The treatment time (onset-to-vascular puncture time, arrival-to-vascular puncture time, arrival-to-vascular recanalization time, puncture-to-vascular recanalization time) and clinical outcomes after 90 days were compared between the two groups. The Wilcoxon rank sum test was used for comparison of treatment time between groups. Pearson χ2 test was used for comparison of clinical outcomes between groups.

Results

A total of 76 patients were enrolled, including 25 patients in the 5G transport group and 51 patients in the non-5G transport group. Compared with the non-5G transport group, the time from onset to puncture in the 5G transport group was significantly shorter [215.0 (142.0, 355.0) min vs 510.0 (348.0, 789.0) min, Z=4.505, P<0.001], the time from arrival to vascular puncture was significantly shorter [24.0 (19.5, 26.0) min vs 91.0 (79.0, 112.5) min, Z=6.890, P<0.001], and the time from arrival to recanalization was significantly shorter [77.0 (61.0, 101.5) min vs 146.0 (114.0, 169.5) min, Z=4.732, P<0.001]. There was no significant difference in the time from puncture to vascular recanalization between the two groups (P>0.05). Functional independence was better in the 5G transport group than in the non-5G transport group after 90 days (modified Rankin scale score 0 - 3: 68.00% vs 35.29%, χ2=7.223, P=0.007), while the symptomatic intracranial hemorrhage rate (0 vs 17.65%, χ2=5.004, P=0.025) and 90-day mortality rate (0 vs 33.33%, χ2=10.734, P=0.001) were significantly lower.

Conclusion

The 5G+ intelligent emergency system can effectively shorten the treatment time and significantly improve the prognosis of patients with acute large vessel occlusive ischemic stroke by optimizing the treatment process of stroke.

Key words: Cerebral infarction, 5G+ intelligent emergency system, Thrombectomy, Green channel
图1 5G转运组与非5G转运组急性大血管闭塞性缺血性脑卒中患者转运流程对比
表1 5G转运组与非5G转运组急性大血管闭塞性缺血性脑卒中患者基线资料比较
项目 5G转运组（n=25） 非5G转运组（n=51） 统计值 P值
年龄（岁，
±s）		 71.92±12.35 70.69±15.11 t=0.354 0.724
男性[例（%）] 10（40.00） 30（58.82） χ2=2.384 0.123
既往史[例（%）]
高血压病 10（40.00） 25（49.02） χ2=0.549 0.459
糖尿病 5（20.00） 7（13.73） χ2=0.137 0.711
高脂血症 0（0） 1（1.96） χ2=0.497 0.481
心房颤动 15（60.00） 20（39.22） χ2=2.917 0.088
脑卒中 5（20.00） 4（7.84） χ2=1.353 0.245
肿瘤 0（0） 3（5.88） χ2=0.373 0.542
NIHSS评分[分，M（Q1，Q3）]
入院 19（16，22） 20（16，22） Z=0.771 0.441
出院 10（3，10） 12（6，19） Z=1.800 0.072
ΔNIHSS评分 8（4，13） 6（2，12） Z=1.429 0.153
ASPECTS[分，M（Q1，Q3）] 7（6，9） 6（2，9） Z=1.291 0.197
TOAST病因分型[例（%）] χ2=7.839 0.020
大动脉粥样硬化型 4（16.00） 23（45.10）
心源性栓塞型 21（84.00） 27（52.94）
其他 0（0） 1（1.96）
表2 5G转运组与非5G转运组急性大血管闭塞性缺血性脑卒中患者救治时间比较[min，M（Q1，Q3）]
项目 5G转运组（n=25） 非5G转运组（n=51） Z值 P值
发病至血管穿刺时间 215.0（142.0，355.0） 510.0（348.0，789.0） 4.505 <0.001
到院至血管穿刺时间 24.0（19.5，26.0） 91.0（79.0，112.5） 6.890 <0.001
到院至血管开通时间 77.0（61.0，101.5） 146.0（114.0，169.5） 4.732 <0.001
穿刺至血管开通时间 51.0（34.0，84.0） 45.0（36.0，62.8） 0.641 0.522
表3 5G转运组与非5G转运组急性大血管闭塞性缺血性脑卒中患者临床结局比较[例（%）]
组别 例数 90 d mRS评分（分） 症状性颅内出血 住院期间死亡
0~2 0~3 6
5G转运组 25 11（44.00） 17（68.00） 0（0） 0（0） 0（0）
非5G转运组 51 13（25.49） 18（35.29） 17（33.33） 9（17.65） 11（21.57）
χ2值 2.660 7.223 10.734 5.004 4.807
P值 0.103 0.007 0.001 0.025 0.028
图2 5G转运组与非5G转运组急性大血管闭塞性缺血性脑卒中患者90 d改良Rankin量表评分分布情况
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